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
1	363LF0000X	Family Nurse Practitioner	868993	NV

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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