Provider Demographics
NPI:1407310907
Name:CASTER, FAITH ANN (APRN PMHNP-BC CNE)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:ANN
Last Name:CASTER
Suffix:
Gender:F
Credentials:APRN PMHNP-BC CNE
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:ANN
Other - Last Name:BENTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1010 DUTCH MILL DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-3663
Mailing Address - Country:US
Mailing Address - Phone:314-323-3923
Mailing Address - Fax:
Practice Address - Street 1:2028 N SEMINARY AVE
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-2626
Practice Address - Country:US
Practice Address - Phone:815-338-3590
Practice Address - Fax:815-337-4406
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041414520163W00000X
MO2019002854363LP0808X
MO2006021082163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse