Individual
MS. GLENDA CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
1225 OAKDALE RD, MODESTO, CA 95355-3357
(209) 557-6200
Mailing address
453 E WIND DR, RIPON, CA 95366-9456
(209) 599-1527
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14804
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14804
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2008
Last updated
01/22/2021
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