Individual provider · NPI-1
Andrea Leigh Castleberry, RN, CDCES
Registered Nurse, Diabetes Educator · Plano, TX
NPI number1821695677
StatusActive
Last updated in NPPESOct 5, 2020
Details
- NPI
- 1821695677
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Andrea Leigh Castleberry
- Credential
- RN, CDCES
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2020
- Certification date
- Oct 5, 2020
- Last updated
- Oct 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | 720242 | TX | Yes |
Practice location
5900 Coit RdPlano, TX 75023-5959
Phone 214-460-8900
Mailing address
701 Sundance CtProsper, TX 75078-7604
Phone 214-460-8900
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