Individual
THERESA MARIE CASTLEMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNP
Contact information
Practice address
7788 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4342
(505) 999-1600
Mailing address
7788 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4342
(505) 999-1600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP-01619
NM
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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