Provider Demographics
NPI:1275173148
Name:CASTELLI, ELISE T (CNP)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:T
Last Name:CASTELLI
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:T
Other - Last Name:CASTELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 S ARLINGTON ST UNIT 146
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3770
Mailing Address - Country:US
Mailing Address - Phone:330-355-7055
Mailing Address - Fax:
Practice Address - Street 1:1400 S ARLINGTON ST UNIT 146
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3770
Practice Address - Country:US
Practice Address - Phone:330-443-3835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-08
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.026163363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily