Karen Castagna

Individual provider Active NPI Diabetes Educator Registered Nurse · Penasco, NM

NPI 1639276017 · NPPES record last updated Jul 5, 2013

Key facts

NPI
1639276017
Entity type
Individual (NPI type 1)
Primary specialty
Diabetes Educator Registered Nurse 163WD0400X
License
R26194 (NM)
Practice address
State Rd. 75 #15136
Penasco, NM 87533
Phone
(575) 587-2205
Fax
(575) 587-1944
NPI assigned
Sep 20, 2006
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

State licenses

LicenseStateTypeSpecialty
R26194NMMDDiabetes Educator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X R26194 NM Yes

Addresses

Primary practice location

State Rd. 75 #15136
Penasco, NM 87533

Mailing address

PO Box 158
538 N. Paseo de Onate
Espanola, NM 87532-0158
Phone (505) 753-7395

Other identifiers

IdentifierTypeStateIssuer
321836OtherNMESPANOLA CLINIC

Other providers in Penasco, NM

All providers in Penasco, NM · Diabetes Educator Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.