Individual
AMY MICHELL CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-PMHNP
Contact information
Practice address
13395 N MARANA MAIN ST BLDG B, MARANA, AZ 85653-7008
(520) 682-1091
(520) 682-4132
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 616-1442
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
233428
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123625
—
AZ
Enumeration date
11/09/2021
Last updated
09/21/2022
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