Provider Demographics
NPI:1932914942
Name:CASPER, THERESA 'TERRI' LYNN
Entity type:Individual
Prefix:MS
First Name:THERESA 'TERRI'
Middle Name:LYNN
Last Name:CASPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 W 39TH ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-8230
Mailing Address - Country:US
Mailing Address - Phone:308-234-6834
Mailing Address - Fax:308-237-9085
Practice Address - Street 1:17 E 36TH ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-8107
Practice Address - Country:US
Practice Address - Phone:308-325-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEG18-014110OtherSTATE