Castro, Mary Ellen P

Castro, Mary Ellen P is an individual health care provider with primary practice located at 263 Farmington Ave Suite #263, Farmington CT 06030-5386. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Castro, Mary Ellen P can be contacted via phone (860) 679-5547.

Contact Information

Primary practice address
263 Farmington Ave Suite #263 Farmington CT 06030-5386
Phone: (860) 679-5547
Fax: (860) 679-5552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X E48342 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 001506 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 001506 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 001506 Connecticut

Profile Details

NPI number 1871567537
LBN Legal business name Castro, Mary Ellen P
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 3rd, 2010 - about 14 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 1871567537 NPPES
Connecticut MEDICAID 004189579

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