Individual provider · Type 1 NPI

Shirley Casillas

Family Nurse Practitioner · Ponte Vedra Beach, FL

NPI number 1952779290 Active

Practice location

1102 A1A N, Unit 104
Ponte Vedra Beach, FL 32082-4098

Fax (904) 273-6532

Mailing address

168 Hawthorn Hedge Ln
St. Johns, FL 32259-4804

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XARNP9308118 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1952779290

Shirley Casillas's National Provider Identifier is 1952779290, issued on Sep 3, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Sep 3, 2015.