Individual provider · Type 1 NPI

Mark Dominic Castanaga, NURSE PRACTITIONER

Family Nurse Practitioner · Las Vegas, NV

NPI number 1114652765 Active

Practice location

8116 Las Vegas Blvd S
Las Vegas, NV 89123-1015

Call (702) 407-7063 Map

Mailing address

9722 Gifthouse St
Las Vegas, NV 89178-4866

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X851962 (NV)
Family Nurse Practitioner Primary 363LF0000X851962 (NV)

Family Nurse Practitioner: Definition to come...

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About NPI 1114652765

Mark Dominic Castanaga, NURSE PRACTITIONER's National Provider Identifier is 1114652765, issued on Jul 19, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 3, 2022.