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DEMETRIA ANN CASTRELLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
1700 CURIE DRIVE, 4800, EL PASO, TX 79902
(915) 351-7000
(915) 351-7004
Mailing address
1700 CURIE DRIVE, 4800, EL PASO, TX 79902
(915) 351-7000
(915) 351-7004

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
711208
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
711208
TX NURSING LICENSE
TX
01
AP121776
ADVANCED PRACTICE LICENSE NUMBER
TX
Enumeration date
09/05/2012
Last updated
12/13/2015
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