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NPI Code Detail

MEDICARE: MARQUITA RENAE CASTO MSN, APRN, FNP-C

MEDICARE: MARQUITA RENAE CASTO MSN, APRN, FNP-C
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 Practitioner107610WV

General Provider Information

NPI Number : 1962000315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARQUITA RENAE CASTO MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 230 HOSPITAL PLZ
Second Line :
City : WESTON
State : WV
Zip : 26452-8558
Country : US
Telephone Number : 304-517-1271
Fax Number : 304-517-1274
Provider Business Practice Location Address
First Line : 230 HOSPITAL PLZ
Second Line :
City : WESTON
State : WV
Zip : 26452-8558
Country : US
Telephone Number : 304-517-1271
Fax Number : 304-517-1274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2020
Last Update Date : 05/12/2026

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