Castillo, Alicia C

Castillo, Alicia C is an individual health care provider with primary practice located at 6320 Riverside Plaza Ln Nw Ste A , Albuquerque NM 87120-1710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Castillo, Alicia C can be contacted via phone (505) 843-6168.

Contact Information

Primary practice address
6320 Riverside Plaza Ln Nw Ste A Albuquerque NM 87120-1710
Phone: (505) 843-6168
Fax: (505) 792-1978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 637 New Mexico

Profile Details

NPI number 1053573600
LBN Legal business name Castillo, Alicia C
Credentials MSN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Jul 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053573600 NPPES
New Mexico MEDICAID 63459558

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