| Casey Joseph Short, RN | |
|
267 N Canyon Dr, Gooding, ID 83330-5500 | |
| (208) 934-4433 | |
| Not Available |
| Full Name | Casey Joseph Short |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 267 N Canyon Dr, Gooding, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033070511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 8671393 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Joseph Short, RN 267 N Canyon Dr, Gooding, ID 83330-5500 Ph: (208) 934-4433 | Casey Joseph Short, RN 267 N Canyon Dr, Gooding, ID 83330-5500 Ph: (208) 934-4433 |
Mrs. Nicole D Odell, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4446 Fax: 208-934-4442 | |
Brandi Ann Bartholomew, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-4433 Fax: 208-934-4442 |