Individual ProviderDonna J CaseyRegistered NurseNursing Service ProvidersPractice Address4612 North 28th St, Camelback High School, Phoenix, AZ 85016(602) 764-7122PECOS EnrollmentBased on the most recent information from CMS, provider Donna J Casey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1013215797Provider TypeIndividualFull NameCasey, Donna JTitleMissGenderFemaleSole ProprietorNoEnumeration Date3/4/2011Last Updated3/4/2011Contact InformationPractice LocationPractice Address4612 North 28th St, Camelback High School, Phoenix, AZ 85016Phone(602) 764-7122FaxUnlisted FaxMailing LocationMailing Address4612 North 28th St, Camelback High School, Phoenix, AZ 85016PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN37009Rhode Island