Doctor Name: | MRS. DIANNE S CASTLE |
NPI Number: | 1043275100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 117554 |
Business Practice Address: | 1419 Village Dr Saint Joseph, MO - 645062459 |
Business Phone Number: | 8166761600 |
Business Fax Number: | |
Mailing Address: | 1419 Village Dr, SAINT JOSEPH |
State: | MO |
Postal Code: | 645062459 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 117554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |