Provider Demographics
NPI:1023461308
Name:MAYER, CASEY ELIZABETH (FNP-BC)
Entity type:Individual
Prefix:MISS
First Name:CASEY
Middle Name:ELIZABETH
Last Name:MAYER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16337 COASTAL HWY
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3607
Mailing Address - Country:US
Mailing Address - Phone:302-291-9900
Mailing Address - Fax:302-200-9094
Practice Address - Street 1:16337 COASTAL HWY
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3607
Practice Address - Country:US
Practice Address - Phone:302-291-9900
Practice Address - Fax:302-200-9094
Is Sole Proprietor?:No
Enumeration Date:2016-07-21
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2299265163W00000X
NY710873163W00000X
NYF340932-1363LF0000X
DELG-0012870363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse