Provider Demographics
NPI:1144509241
Name:TALON, KASEY E (APRN)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:E
Last Name:TALON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 412503
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-1543
Mailing Address - Country:US
Mailing Address - Phone:617-726-3884
Mailing Address - Fax:833-944-2265
Practice Address - Street 1:15 OLD ROLLINSFORD RD STE 301
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820
Practice Address - Country:US
Practice Address - Phone:603-740-2253
Practice Address - Fax:603-609-6530
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH056426-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3074892Medicaid