Healthcare Provider Details

I. General information

NPI: 1770495517
Provider Name (Legal Business Name): MIRELLA A CASTILLO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HARRIS RD
NASHUA NH
03062-2145
US

IV. Provider business mailing address

88 MAIN ST # 808
NORTH ANDOVER MA
01845-2427
US

V. Phone/Fax

Practice location:
  • Phone: 603-888-1573
  • Fax: 603-888-1565
Mailing address:
  • Phone: 603-888-1573
  • Fax: 603-888-1565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number089488-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: