Individual
SANDY G CASTELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S UNION BLVD, EPCH DEPT, COLORADO SPRINGS, CO 80910
(719) 575-8613
(719) 575-8629
Mailing address
3159 SPOTTED TAIL DRIVE, COLORADO SPRINGS, CO 80916
(719) 386-0880
(719) 575-8629
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
99472
CO
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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