Individual
NICOLAS CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-8323
(262) 948-5600
Mailing address
10400 75TH ST, KENOSHA, WI 53142-8323
(262) 948-5600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16672-33
WI
363L00000X
Nurse Practitioner
209.028122
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100381333
—
WI
Enumeration date
09/15/2023
Last updated
12/04/2025
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