Search › Mississippi › 363LF0000X
Casey Favre, NP-C
NPI 1073806246 · on the registry since 2011
Practice
- Address
- 4540 B Shepherds Squard
Diamondhead, MS 39525 - Phone
- (228) 255-8216
- Fax
- (228) 255-8219
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LA2100X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi