Individual provider · NPI-1

Austin Alicastro, DNP, NP-C

Nurse Practitioner · Loma Linda, CA

NPI number1376160796
StatusActive
Last updated in NPPESSep 8, 2021

Details

NPI
1376160796
Entity type
Individual (NPI-1)
Name
Austin Alicastro
Credential
DNP, NP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 1, 2020
Certification date
Sep 8, 2021
Last updated
Sep 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner95018286CAYes
363LG0600X Nurse Practitioner, Gerontology95018286CA

Practice location

11262 Campus St
Loma Linda, CA 92350-1727

Phone 909-558-1000

Mailing address

11262 Campus St
Loma Linda, CA 92350-1727

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