| Doctor Name: | DIANE CASTELLANOS |
| NPI Number: | 1316218258 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP -CNP |
| License Number: | 57633 |
| Business Practice Address: | 124 E Sheridan Ave Room 101 Kingfisher, OK - 737503200 |
| Business Phone Number: | 4053753008 |
| Business Fax Number: | |
| Mailing Address: | 124 E Sheridan Ave, Room 101 KINGFISHER |
| State: | OK |
| Postal Code: | 737503200 |
| Phone Number: | 4053753008 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2012 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 57633 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |