Diane Castellanos, ARNP -CNP
Individual provider Active NPI Women's Health Nurse Practitioner · Kingfisher, OK
NPI 1316218258 · NPPES record last updated Jan 24, 2012
Key facts
- NPI
- 1316218258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 57633 (OK)
- Practice address
- 124 E Sheridan Ave
Room 101
Kingfisher, OK 73750-3200 - Phone
- (405) 375-3008
- NPI assigned
- Jan 24, 2012
- 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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57633 | OK | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 57633 | OK | Yes |
Addresses
Primary practice location
124 E Sheridan Ave
Room 101
Kingfisher, OK 73750-3200
Mailing address
124 E Sheridan Ave
Room 101
Kingfisher, OK 73750-3200
Phone (405) 375-3008
Other providers in Kingfisher, OK
- Nathan Kelly Brown
- Kandice Burk
- Melody C Byrd
- Kristyn Cagle
- Cardiac and Pulmonary Rehabilitation Clinic LLC
- Amy R Cavner
- Mary Chance
- Chisholm Medical Equipment
- City of Kingfisher
- Compassion Clinic Pharmacy
All providers in Kingfisher, OK · Women's Health Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.