Provider Demographics
NPI:1710985700
Name:CASE, PATRICIA E (DNP APRN CNM)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:CASE
Suffix:
Gender:F
Credentials:DNP APRN CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 ROYAL PALM BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5742
Mailing Address - Country:US
Mailing Address - Phone:954-341-8288
Mailing Address - Fax:
Practice Address - Street 1:2580 SAINT ROSE PKWY STE 140
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7792
Practice Address - Country:US
Practice Address - Phone:702-862-8862
Practice Address - Fax:702-862-8774
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002237363L00000X, 367A00000X
FLAPRN9173130367A00000X
MSR877192367A00000X
NV367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1710985700Medicaid
MS07724760Medicaid
FLU2085ZMedicare ID - Type Unspecified
FLQ09160Medicare UPIN
FL3060179-00Medicaid