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NPI Code Detail

MEDICARE: STEPHANIE CASTO CPNP-AC

MEDICARE:   STEPHANIE  CASTO  CPNP-AC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0222XCritical Care Pediatric Nurse PractitionerAPRN.CNP.0026968OH

General Provider Information

NPI Number : 1023621216
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE CASTO CPNP-AC
Provider Business Mailing Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2020
Last Update Date : 08/26/2020

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Directions to “ STEPHANIE CASTO CPNP-AC” Practice Location

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