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General NPI Number Information
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NPI Number | 1104476647
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Entity Type | Individual
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Provider Name | ANDREA ELENA CASTILLO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2801 N TENAYA WAY STE C
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City | LAS VEGAS
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State | NV
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Zip | 89128-1400
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Country | US
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Telephone | 702-684-7800
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Fax | 833-438-3680
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Provider Business Mailing Address
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Address Line | 4378 VELVET RIDGE CT
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City | LAS VEGAS
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State | NV
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Zip | 89129-2624
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Country | US
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Telephone | 713-294-3389
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN002939
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License Number State | NV
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