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Individual

JULIANNA M CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
5401 44TH AVENUE DR, SUITE 100, MOLINE, IL 61265-8126
(309) 779-5670
(309) 779-5675
Mailing address
5401 44TH AVENUE DR, SUITE 100, MOLINE, IL 61265-8126
(309) 779-5670
(309) 779-5675

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-000723
IL
363LF0000X
Family Nurse Practitioner
A-083274
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
048919
HEALTH ALLIANCE
01
4796890024
DMERC
01
64903
IOWA HEALTH SOLUTIONS
01
97792
WELLMARK BC/BS
01
IL0113
JOHN DEERE HEALTH PLAN
01
P01371975
RR MEDICARE
IL
Enumeration date
06/16/2005
Last updated
02/05/2015
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