Individual
SHELLENE CASTLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 DIVISION ST., NOME, AK 99762
(907) 443-4150
(907) 443-4151
Mailing address
PO BOX 98, NOME, AK 99762-0098
(907) 443-4150
(907) 443-4151
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CM3964
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM3964
—
AK
Enumeration date
04/10/2007
Last updated
07/09/2007
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