Provider Demographics
NPI:1558028613
Name:CASTELLI, CAROLINE NOEL (NP)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:NOEL
Last Name:CASTELLI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BEECH DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-1210
Mailing Address - Country:US
Mailing Address - Phone:248-345-0905
Mailing Address - Fax:
Practice Address - Street 1:609 JEFFERSON DAVIS HWY STE 201
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4566
Practice Address - Country:US
Practice Address - Phone:540-666-6181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024182901363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care