Provider Demographics
NPI:1730895376
Name:SHEHAN, CASEY DEANNE (NP)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:DEANNE
Last Name:SHEHAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:DEANNE
Other - Last Name:CULBRETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:691 BLYTHE STREET CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4095
Mailing Address - Country:US
Mailing Address - Phone:828-693-5010
Mailing Address - Fax:
Practice Address - Street 1:691 BLYTHE STREET CT
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4095
Practice Address - Country:US
Practice Address - Phone:828-693-5010
Practice Address - Fax:828-693-9411
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC244284163WG0000X
NC5017656363LF0000X
NC1730895376363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty