MEDICARE: ANGELIA ESTELENE CASTEEL APRN

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
1	163W00000X	Registered Nurse	92456	OK
2	363LF0000X	Family Nurse Practitioner	201689	OK

General Provider Information

NPI Number	:	1154097863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELIA ESTELENE CASTEEL APRN

Provider Business Mailing Address
First Line	:	6922 S WESTERN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-1803
Country	:	US
Telephone Number	:	405-631-0483
Fax Number	:

Provider Business Practice Location Address
First Line	:	6922 S WESTERN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-1803
Country	:	US
Telephone Number	:	405-631-0483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2021
Last Update Date	:	12/02/2025

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