Healthcare Provider Details

I. General information

NPI: 1134212939
Provider Name (Legal Business Name): DEBRA CASTNER NP,RN, MSN, APRN,CNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9550 HOSPITAL AVE PO BOX 923
NASSAWADOX VA
23413
US

IV. Provider business mailing address

6160 KEMPSVILLE CIR STE 302A
NORFOLK VA
23502-3936
US

V. Phone/Fax

Practice location:
  • Phone: 757-442-9080
  • Fax: 757-442-9082
Mailing address:
  • Phone: 757-466-9288
  • Fax: 757-457-3691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NO06161900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024172475
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: