Provider Demographics
NPI:1265006738
Name:CASTRO, BEATRIZ ADRIANA (FNP-C)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:ADRIANA
Last Name:CASTRO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 E WELDON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-6251
Mailing Address - Country:US
Mailing Address - Phone:155-923-1679
Mailing Address - Fax:
Practice Address - Street 1:6234 N 1ST ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5446
Practice Address - Country:US
Practice Address - Phone:559-435-5727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF04210574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily