Castle, Dianne S

Castle, Dianne S is an individual health care provider with primary practice located at 1918 N Woodbine Rd , Saint Joseph MO 64506. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Castle, Dianne S can be contacted via phone (816) 396-8855.

Contact Information

Primary practice address
1918 N Woodbine Rd Saint Joseph MO 64506
Fax: (816) 396-6123
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 117554 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 117554 Missouri

Profile Details

NPI number 1043275100
LBN Legal business name Castle, Dianne S
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Oct 6th, 2023 - about last year

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 1043275100 NPPES
Missouri MEDICAID 424654416

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