Provider Demographics
NPI:1588453823
Name:PARMER, CASI G (RN)
Entity type:Individual
Prefix:
First Name:CASI
Middle Name:G
Last Name:PARMER
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:CASI
Other - Middle Name:PARMER
Other - Last Name:STACKOWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:23 SOUNDINGS WAY
Mailing Address - Street 2:
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569-2418
Mailing Address - Country:US
Mailing Address - Phone:850-209-9012
Mailing Address - Fax:
Practice Address - Street 1:350 PENSACOLA BEACH RD
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4815
Practice Address - Country:US
Practice Address - Phone:850-209-9012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9591439163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse