Healthcare Provider Details
I. General information
NPI: 1992377527
Provider Name (Legal Business Name): ROCHELLE VERONICA CASTRO GALICK FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/13/2021
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 G ST NW STE 800
WASHINGTON DC
20005-6705
US
IV. Provider business mailing address
1200 G ST NW STE 800
WASHINGTON DC
20005-6705
US
V. Phone/Fax
- Phone: 703-552-2722
- Fax:
- Phone: 573-337-0179
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN101194 |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | NP500008267 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: