Individual
MRS. HAZEL TABAO CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
3901 S MARYLAND PKWY, LAS VEGAS, NV 89119-7537
(702) 982-7240
(702) 952-5444
Mailing address
3901 S MARYLAND PKWY, LAS VEGAS, NV 89119-7537
(702) 982-7240
(702) 952-5444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN002638
NV
363LF0000X
Family Nurse Practitioner
209014354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851833107
—
NV
Enumeration date
11/16/2016
Last updated
05/31/2024
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