| Doctor Name: | MS. MICHELLE MAILE MCCASLIN |
| NPI Number: | 1164715355 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, NP-C |
| License Number: | 111242 |
| Business Practice Address: | 10701 S 72nd St Ste 100 Suite 100 Papillion, NE - 680463427 |
| Business Phone Number: | 4028279421 |
| Business Fax Number: | 4029998029 |
| Mailing Address: | 10701 So. 72nd Street Suite 100, Suite 100 PAPILLION |
| State: | NE |
| Postal Code: | 68046 |
| Phone Number: | 4028279421 |
| Fax Number: | 4029998029 |
| NPI Enumeration Date: | 05/19/2011 |
| NPI Last Update Date: | 09/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 111242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |