Individual
REBECCA M CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
610 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601-1081
(574) 647-8120
(574) 647-8111
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003282A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300010019
—
IN
Enumeration date
06/10/2010
Last updated
03/31/2021
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