Healthcare Provider Details

I. General information

NPI: 1477077444
Provider Name (Legal Business Name): NATOYA S CASTON CNPN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2017
Last Update Date: 01/09/2020
Certification Date: 01/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 RAYFORD RD STE 150
SPRING TX
77386-4169
US

IV. Provider business mailing address

440 RAYFORD RD STE 150
SPRING TX
77386-4169
US

V. Phone/Fax

Practice location:
  • Phone: 936-539-4004
  • Fax:
Mailing address:
  • Phone: 936-539-4004
  • Fax: 281-370-1139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP134673
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: