Provider Demographics
NPI:1194318352
Name:LLOYD, CASEY ERIN (NP)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:ERIN
Last Name:LLOYD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 GORDON HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:HEFLIN
Mailing Address - State:AL
Mailing Address - Zip Code:36264-1936
Mailing Address - Country:US
Mailing Address - Phone:256-201-8445
Mailing Address - Fax:
Practice Address - Street 1:183 GORDON HARRIS RD
Practice Address - Street 2:
Practice Address - City:HEFLIN
Practice Address - State:AL
Practice Address - Zip Code:36264-1936
Practice Address - Country:US
Practice Address - Phone:256-201-8445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN230249363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care