Provider Demographics
NPI:1417657008
Name:CASTILLO, DANIELLA CATERINA (RN)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLA
Middle Name:CATERINA
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 DRAKE CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39702-9495
Mailing Address - Country:US
Mailing Address - Phone:310-940-3592
Mailing Address - Fax:
Practice Address - Street 1:361 DRAKE CIR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39702-9495
Practice Address - Country:US
Practice Address - Phone:310-940-3592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula