Individual
MRS. DIANNE S CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1918 N WOODBINE RD, SAINT JOSEPH, MO 64506
(816) 396-8855
(816) 396-6123
Mailing address
1918 N WOODBINE RD, SAINT JOSEPH, MO 64506
(816) 396-8855
(816) 396-6123
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
117554
MO
363LP0200X
Pediatric Nurse Practitioner
117554
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424654416
—
MO
Enumeration date
04/19/2006
Last updated
10/06/2023
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