Healthcare Provider Details

I. General information

NPI: 1407761513
Provider Name (Legal Business Name): BROOKLYNN CASTELLANOS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 15TH AVE E
SEATTLE WA
98112-5103
US

IV. Provider business mailing address

1450 E REPUBLICAN ST APT 101
SEATTLE WA
98112-5502
US

V. Phone/Fax

Practice location:
  • Phone: 877-752-0423
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN60987486
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: