MEDICARE: MARILIN CASTRO PRIETO MSN, APRN-FNP-C

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	363LF0000X	Family Nurse Practitioner	11020912	FL

General Provider Information

NPI Number	:	1316672785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILIN CASTRO PRIETO MSN, APRN-FNP-C

Provider Business Mailing Address
First Line	:	7912 HEATHER CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-2236
Country	:	US
Telephone Number	:	863-589-8129
Fax Number	:

Provider Business Practice Location Address
First Line	:	7912 HEATHER CT
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-2236
Country	:	US
Telephone Number	:	863-589-8129
Fax Number	:

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

Provider Enumeration Date	:	07/20/2022
Last Update Date	:	08/16/2022

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