Samantha Castello
Nurse Practitioner, Gerontology in Atlanta, GA. Individual provider (NPI-1).
NPI number1982194114
StatusActive
Last updated in NPPESMay 14, 2018
Details
- NPI
- 1982194114
- Entity type
- Individual (NPI-1)
- Name
- Samantha Castello
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2018
- Last updated
- May 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 206070 | GA | Yes |
Practice location
550 Peachtree St NeAtlanta, GA 30308-2212
Phone 678-480-4435
Mailing address
125 Harvey AveCovington, GA 30016-7773
Phone 678-480-4435
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All 54 Gerontology Nurse Practitioner providers in Atlanta · All 39,648 providers in Atlanta
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