Provider Demographics
NPI:1225436926
Name:CASTLE, HOLLY (ND)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:
Last Name:CASTLE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 28518
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-0158
Mailing Address - Country:US
Mailing Address - Phone:480-205-6733
Mailing Address - Fax:
Practice Address - Street 1:10563 E BAHIA DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-2458
Practice Address - Country:US
Practice Address - Phone:480-205-6733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-11
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ01-609175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath