Individual
DANIELLE M CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845-1673
(260) 425-6780
(260) 425-6615
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28202948A
IN
363L00000X
Nurse Practitioner
Primary
71009164A
IN
363LF0000X
Family Nurse Practitioner
71009164A
IN
Other
Enumeration date
07/11/2019
Last updated
04/02/2026
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