Provider Demographics
NPI:1477108280
Name:CASTEEL, JOHN DAVID (CRNP, DNP-FNP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:CASTEEL
Suffix:
Gender:M
Credentials:CRNP, DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-1716
Mailing Address - Country:US
Mailing Address - Phone:724-967-4764
Mailing Address - Fax:
Practice Address - Street 1:801 BUTLER PIKE
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-5653
Practice Address - Country:US
Practice Address - Phone:724-662-1837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP0202596363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily