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NPI Code Detail

MEDICARE: VALERIE CASTANEDA

MEDICARE:   VALERIE  CASTANEDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner868993NV

General Provider Information

NPI Number : 1598532681
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE CASTANEDA
Provider Business Mailing Address
First Line : 5260 CHESTER CREEK CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-8703
Country : US
Telephone Number : 702-354-4650
Fax Number :
Provider Business Practice Location Address
First Line : 5260 CHESTER CREEK CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-8703
Country : US
Telephone Number : 702-354-4650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2023
Last Update Date : 12/07/2023

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Directions to “ VALERIE CASTANEDA ” Practice Location

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