NPI | 1003240771 |
---|---|
Professional Name | CASEY M. PANKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992488-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A119948) |
Enumeration Date | 2013-08-29 |
Last Update Date | 2025-06-12 |