Individual
MS. PAULINE SOPHIE CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1401 ANITA ST, PUEBLO, CO 81001-2122
(719) 225-6510
(719) 542-3514
Mailing address
1401 ANITA ST., PUEBLO, CO 81001-2122
(719) 225-6510
(719) 542-3514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
164080
CO
363LF0000X
Family Nurse Practitioner
Primary
4815
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27872769
—
CO
05
—
36920061
—
CO
Enumeration date
03/30/2007
Last updated
02/17/2025
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