Castro, Mary L

Castro, Mary L is an individual health care provider with primary practice located at 1325 Spring St Anesthesia Dept, Greenwood SC 29646-3860. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Castro, Mary L can be contacted via phone (864) 227-4111.

Contact Information

Primary practice address
1325 Spring St Anesthesia Dept Greenwood SC 29646-3860
Phone: (864) 227-4111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R74419 South Carolina

Profile Details

NPI number 1699755595
LBN Legal business name Castro, Mary L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jan 24th, 2022 - about 3 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 1699755595 NPPES
South Carolina MEDICAID AN1438

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