Provider Demographics
NPI:1972967115
Name:DALSEY, CASEY (APN)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:DALSEY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 WOODBURY GLASSBORO RD
Mailing Address - Street 2:SUITE 26
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-3735
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:660 WOODBURY GLASSBORO RD
Practice Address - Street 2:SUITE 26
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3735
Practice Address - Country:US
Practice Address - Phone:856-589-3708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00627100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health