Individual provider · Type 1 NPI
Michele Jean Decastro, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1396987814
Active
Practice location
1020 Sansom St, Suite 239
Philadelphia, PA 19107-5002
Mailing address
111 S 11th St, Gibbon 8100
Philadelphia, PA 19107-4824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP010197 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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- Arthur K. Au, MDEmergency Medicine Physician Philadelphia, PA NPI 1760643829
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About NPI 1396987814
Michele Jean Decastro, CRNP's National Provider Identifier is 1396987814, issued on Mar 30, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 24, 2016.