Provider Demographics
NPI:1154188316
Name:GARNER, CASEY CAROL (CNA)
Entity type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:CAROL
Last Name:GARNER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 LEVEE HWY LOT K
Mailing Address - Street 2:
Mailing Address - City:PIERRE PART
Mailing Address - State:LA
Mailing Address - Zip Code:70339-4042
Mailing Address - Country:US
Mailing Address - Phone:985-714-5653
Mailing Address - Fax:
Practice Address - Street 1:2101 LEVEE HWY LOT K
Practice Address - Street 2:
Practice Address - City:PIERRE PART
Practice Address - State:LA
Practice Address - Zip Code:70339-4042
Practice Address - Country:US
Practice Address - Phone:985-714-5653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA331473376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide