Provider Demographics
NPI:1609021211
Name:SENDERLING, CASEY CHRISTINE (LPN)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:CHRISTINE
Last Name:SENDERLING
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 E POTTER DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-4136
Mailing Address - Country:US
Mailing Address - Phone:602-505-4400
Mailing Address - Fax:
Practice Address - Street 1:902 E POTTER DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-4136
Practice Address - Country:US
Practice Address - Phone:602-505-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP043314164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse