Provider Demographics
NPI:1710219290
Name:CASKEY, CARRIE (LCCE, FACCE, CD-DONA)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:CASKEY
Suffix:
Gender:F
Credentials:LCCE, FACCE, CD-DONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 171ST ST
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MN
Mailing Address - Zip Code:56139-4730
Mailing Address - Country:US
Mailing Address - Phone:507-347-3229
Mailing Address - Fax:
Practice Address - Street 1:1222 171ST ST
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MN
Practice Address - Zip Code:56139-4730
Practice Address - Country:US
Practice Address - Phone:507-347-3229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator