Donald Edward Casebolt, NURSE PRACTITIONER Valid NPI

Individual provider · Family Nurse Practitioner · Nipomo, CA

NPI

1053343046

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

585025 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-07

Last updated

2013-07-02