MEDICARE: GUADALUPE CASTANEDA NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	263075	AZ

General Provider Information

NPI Number	:	1154128437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUADALUPE CASTANEDA NP

Provider Business Mailing Address
First Line	:	6390 E BROADWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-3517
Country	:	US
Telephone Number	:	520-733-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	6390 E BROADWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-3517
Country	:	US
Telephone Number	:	520-733-2250
Fax Number	:	520-733-2270

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

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	01/23/2026

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