Individual
MRS. TRACEY GAYLE DECASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
910 DOUGLAS PIKE, SMITHFIELD, RI 02917-1874
(401) 427-6727
(401) 709-7181
Mailing address
74 JEREMY HILL RD, STONINGTON, CT 06378-1605
(860) 501-1326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN00656
RI
Other
Enumeration date
09/17/2013
Last updated
03/14/2023
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