Individual
BRENDA IRENE CASTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
900 WELCH RD STE 350, PALO ALTO, CA 94304-1807
(650) 723-6576
Mailing address
3623 PARK RIDGE DR, RICHMOND, CA 94806-6102
(510) 313-8354
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009709
CA
363LA2100X
Acute Care Nurse Practitioner
95009709
CA
Other
Enumeration date
08/23/2018
Last updated
01/09/2019
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