Individual
DIANE CASTELLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP -CNP
Contact information
Practice address
124 E SHERIDAN AVE, ROOM 101, KINGFISHER, OK 73750-3200
(405) 375-3008
Mailing address
124 E SHERIDAN AVE, ROOM 101, KINGFISHER, OK 73750-3200
(405) 375-3008
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
57633
OK
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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