Healthcare Provider Details

I. General information

NPI: 1346261856
Provider Name (Legal Business Name): ADA L CASTLE RN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. ADA LYNNE HINE

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 11/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 WOODWARD DR STE 4
GREENSBURG PA
15601
US

IV. Provider business mailing address

1117 WOODWARD DR STE 4
GREENSBURG PA
15601-7228
US

V. Phone/Fax

Practice location:
  • Phone: 724-834-0432
  • Fax: 888-972-1731
Mailing address:
  • Phone: 724-459-4565
  • Fax: 888-972-1731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN258689L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: