Individual
MS. JENNIFER LYDIA CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
333 MONTANO RD NW STE A1, ALBUQUERQUE, NM 87107-5200
(505) 777-3003
Mailing address
PO BOX 740018, ATLANTA, GA 30374-0018
(773) 352-1517
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04190449
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F04190449
AANP CERTIFICATION BOARD
—
Enumeration date
04/27/2019
Last updated
04/30/2024
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