Provider Demographics
NPI:1245364702
Name:CAREY-CASKEY, MICHELLE D (CRNFA)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:D
Last Name:CAREY-CASKEY
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7672 E SOLANO DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-6190
Mailing Address - Country:US
Mailing Address - Phone:480-980-8206
Mailing Address - Fax:480-281-5224
Practice Address - Street 1:240 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4407
Practice Address - Country:US
Practice Address - Phone:602-684-3594
Practice Address - Fax:480-281-5224
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN046522163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ310227-03Medicaid