MR. CASEY BLOOD FNP NPI 1396295374

NPI Information

NPI: 1396295374
Provider Name: MR. CASEY BLOOD, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ALCAN MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
751 OLD RICHARDSON HWY STE 101
FAIRBANKS, AK
ZIP 99701
Phone: (907) 328-0844
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MR. Casey Blood, FNP is a family nurse practitioner in Fairbanks, AK with 8 years of experience. MR. Casey Blood, FNP NPI is 1396295374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

751 OLD RICHARDSON HWY STE 101
FAIRBANKS, AK
ZIP 99701-802
Phone: (907) 328-0844
Fax: (907) 328-0843

The NPI 1396295374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2016 and was last updated on 12/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WE0003X	Registered Nurse	Emergency	RN0178128	COLORADO	No
2	363LF0000X	Nurse Practitioner	Family	APN.0993604-NP	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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