Individual
ROBIN MICHELLE DECASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1430 WILKINS CIRCLE, CASPER, WY 82601-1336
(307) 235-9583
(307) 265-7277
Mailing address
992 E 121ST PL, OLATHE, KS 66061-6760
(307) 259-3467
(913) 273-1747
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18154.0972
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-76831-101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18154.0972
APRN WITH PRESCRIPTIVE AUTHORITY
WY
01
—
53-76831-101
APRN LICENSE
KS
01
—
941
TEMPORARY GRADUATE APRN LICENSE
WY
Enumeration date
09/08/2008
Last updated
09/29/2015
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