Provider Demographics
NPI:1518329630
Name:KASTRINOS, DOROTHY (CRNP)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:KASTRINOS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 GOVERNMENT BLVD
Mailing Address - Street 2:SUITE 408
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-4308
Mailing Address - Country:US
Mailing Address - Phone:251-602-1911
Mailing Address - Fax:251-602-1850
Practice Address - Street 1:1758 SPRING HILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3508
Practice Address - Country:US
Practice Address - Phone:251-602-1911
Practice Address - Fax:251-602-1850
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-058649363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology