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NPI Code Detail

MEDICARE: TROY LYNN CASTRO RN

MEDICARE:   TROY LYNN CASTRO  RN
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
1163W00000XRegistered NurseRN45305NV

General Provider Information

NPI Number : 1376783233
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY LYNN CASTRO RN
Provider Business Mailing Address
First Line : 4924 CRYSTAL FIELD ST
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89031-7253
Country : US
Telephone Number : 800-872-8626
Fax Number :
Provider Business Practice Location Address
First Line : 4924 CRYSTAL FIELD ST
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89031-7253
Country : US
Telephone Number : 800-872-8626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2009
Last Update Date : 03/04/2009

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Directions to “ TROY LYNN CASTRO RN” Practice Location

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