Individual
DR. KEITHA K MOUNTCSTLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, ED.D., CNS, NNP
Contact information
Practice address
205 W DECATUR AVE, CLOVIS, CA 93611-7124
(559) 322-0868
(559) 278-6360
Mailing address
205 W DECATUR AVE, CLOVIS, CA 93611-7124
(559) 322-0868
(559) 278-6360
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
10646
CA
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
708
CA
Other
Enumeration date
07/01/2005
Last updated
09/11/2025
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