Meryl Castro

Individual provider Active NPI Registered Nurse · Grover Beach, CA

NPI 1730822792 · NPPES record last updated Apr 18, 2022

Key facts

NPI
1730822792
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
763313 (CA)
Practice address
286 S 16TH St
Grover Beach, CA 93433-2245
Phone
(805) 473-7116
NPI assigned
Apr 18, 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

State licenses

LicenseStateTypeSpecialty
763313CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 763313 CA Yes

Addresses

Primary practice location

286 S 16TH St
Grover Beach, CA 93433-2245

Mailing address

286 S 16TH St
Grover Beach, CA 93433-2245
Phone (805) 473-7116

Other providers in Grover Beach, CA

All providers in Grover Beach, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.