Provider Demographics
NPI:1750619755
Name:CASNER, LINDA B (NP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:B
Last Name:CASNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 8
Mailing Address - Street 2:300 MAIN ST
Mailing Address - City:OAK CREEK
Mailing Address - State:CO
Mailing Address - Zip Code:80467
Mailing Address - Country:US
Mailing Address - Phone:970-736-8118
Mailing Address - Fax:970-736-0678
Practice Address - Street 1:300 MAIN ST.
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:CO
Practice Address - Zip Code:80467
Practice Address - Country:US
Practice Address - Phone:970-736-8118
Practice Address - Fax:970-736-0678
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONP-6042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily