Individual
MRS. KATHRYN MARI CASTORENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP B, ANN ARBOR, MI 48109-5344
(734) 936-8857
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704282048
MI
363LF0000X
Family Nurse Practitioner
4704282048
MI
Other
Enumeration date
01/14/2014
Last updated
01/17/2014
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