Lisa Castillon, RN

Individual provider Active NPI School Registered Nurse · Harahan, LA

NPI 1104587633 · NPPES record last updated Jan 6, 2022

Key facts

NPI
1104587633
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
108553 (LA)
Practice address
822 S Clearview Pkwy
Harahan, LA 70123-3401
Phone
(504) 430-4541
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
108553LAMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 108553 LA Yes

Addresses

Primary practice location

822 S Clearview Pkwy
Harahan, LA 70123-3401

Mailing address

822 S Clearview Pkwy
Harahan, LA 70123-3401
Phone (504) 430-4541

Other identifiers

IdentifierTypeStateIssuer
1701033MedicaidLA

Other providers in Harahan, LA

All providers in Harahan, LA · School Registered Nurse in Louisiana

Sources for this page

Verify at the official NPI Registry.