Healthcare Provider Details

I. General information

NPI: 1538785142
Provider Name (Legal Business Name): KRISTINA CASTO CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 06/19/2020
Certification Date: 06/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ATCHESON ST
COLUMBUS OH
43203-1353
US

IV. Provider business mailing address

1000 ATCHESON ST
COLUMBUS OH
43203-1353
US

V. Phone/Fax

Practice location:
  • Phone: 614-252-4941
  • Fax:
Mailing address:
  • Phone: 614-252-4941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0026835
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: