Sandy G Castellucci

NPI 1700806163 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1700806163
Gender Female
Enumeration Date 07/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
301 S UNION BLVD
EPCH DEPT
COLORADO SPRINGS CO, 80910, US
Phone (719) 575-8613
Fax (719) 575-8629
Business Location
3159 SPOTTED TAIL DRIVE
COLORADO SPRINGS CO, 80916, US
Phone (719) 386-0880
Fax (719) 575-8629
Toxanomy
Taxonomy Code 363L00000X
License State Colorado
License Number 99472
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According to our database, Sandy G Castellucci NPI is 1700806163, taxonomy code is 363L00000X and license number is 99472, license state is located at Colorado. Sandy G Castellucci physically located at 301 S Union Blvd, Colorado Springs CO, 80910. NPI Number Sandy G Castellucci has the Individual type.

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1700806163 NPI number is provided on an as is basis without warranty of any kind. 1700806163 is maintained by the National Plan & Provider Enumeration System. The contents of Sandy G Castellucci are for informational purposes only.