Provider Demographics
NPI:1073310934
Name:AUXIER, CASEY NICOLE
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:NICOLE
Last Name:AUXIER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:683 PIGEON CRK
Mailing Address - Street 2:
Mailing Address - City:OIL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41238-8943
Mailing Address - Country:US
Mailing Address - Phone:606-792-8601
Mailing Address - Fax:
Practice Address - Street 1:713 BROADWAY ST STE 301
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-1613
Practice Address - Country:US
Practice Address - Phone:606-372-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYF02250936363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily