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Individual

ANNE MARIE CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
8595 S DECATUR BLVD STE 108, LAS VEGAS, NV 89139-7006
(702) 948-1130
(702) 688-8861
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1004301
TX
363LF0000X
Family Nurse Practitioner
Primary
863057
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184223562
NV
01
830573
STATE LICENSE
NV
Enumeration date
10/18/2020
Last updated
03/10/2025
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