MARY ELLEN P CASTRO APRN NPI 1871567537

NPI Information

NPI: 1871567537
Provider Name: MARY ELLEN P CASTRO, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
263 FARMINGTON AVE
SUITE #263
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-5547
Get Directions

Mary Ellen P Castro, APRN is an adult health nurse practitioner in Farmington, CT. Mary Ellen P Castro, APRN NPI is 1871567537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

263 FARMINGTON AVE
SUITE #263
FARMINGTON, CT
ZIP 06030-386
Phone: (860) 679-5547
Fax: (860) 679-5552

The NPI 1871567537 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 3/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		E48342	CONNECTICUT	No
2	363LG0600X	Nurse Practitioner	Gerontology	001506	CONNECTICUT	No
3	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	001506	CONNECTICUT	No
4	363LA2200X	Nurse Practitioner	Adult Health	001506	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	500000093	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
2	S51763	MEDICARE UPIN
3	004189579	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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