Individual
KEITH L CASTILLOVEITIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN ACNPC-AG
Contact information
Practice address
160 WAYLAND AVE, PROVIDENCE, RI 02906-4304
(401) 521-1221
Mailing address
160 WAYLAND AVE, PROVIDENCE, RI 02906-4304
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN03694
RI
363LA2200X
Adult Health Nurse Practitioner
APRN03694
RI
363LG0600X
Gerontology Nurse Practitioner
APRN03694
RI
Other
Enumeration date
11/06/2023
Last updated
03/31/2026
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