Individual
MALLELYN CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4385 W 16TH AVE, HIALEAH, FL 33012-7628
(305) 824-0637
(305) 824-0628
Mailing address
4385 W 16TH AVE, HIALEAH, FL 33012-7628
(305) 824-0637
(305) 824-0628
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11030851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN9399673
LICENSE
FL
Enumeration date
12/17/2019
Last updated
05/10/2024
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