Individual
MARIA DEL CARMEN CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
616 E SOUTHERN AVE STE 103, MESA, AZ 85204-4941
(602) 569-3999
Mailing address
11233 E ELLIS ST, MESA, AZ 85207-2269
(480) 318-2819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
273453
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/21/2022
Last updated
06/08/2022
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