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Individual

DENISSE ALEJANDRA CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
163 FORT EVANS RD NE, LEESBURG, VA 20176-4420
(703) 443-2000
Mailing address
7904 GREENEBROOK CT, FAIRFAX STA, VA 22039-3170
(703) 220-7882

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0024177348
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001236163
BOARD OF NURSING DEPARTMENT OF HEALTH PROFESSIONALS
VA
01
0024177348
BOARD OF NURSING DEPARTMENT OF HEALTH PREFESSIONALS
VA
01
201912307
PEDIATRIC NURSING CERTIFICATION BOARD
Enumeration date
03/01/2019
Last updated
03/01/2019
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