Erin Castellaw

Individual provider Active NPI Registered Nurse · Fairview, TN

NPI 1760110217 · NPPES record last updated Aug 11, 2022

Key facts

NPI
1760110217
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
0000225622 (TN)
Practice address
2629 Fairview Blvd
Fairview, TN 37062-9084
Phone
(615) 799-2389
NPI assigned
Aug 11, 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
0000225622TNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0000225622 TN Yes

Addresses

Primary practice location

2629 Fairview Blvd
Fairview, TN 37062-9084

Mailing address

7302 Chester Rd
Fairview, TN 37062-9313

Other providers in Fairview, TN

All providers in Fairview, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.