Provider Demographics
NPI:1568665636
Name:CASTILLO, MARLENY (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARLENY
Middle Name:
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 1:1015 E TRINITY LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-3029
Mailing Address - Country:US
Mailing Address - Phone:615-862-7916
Mailing Address - Fax:615-880-2127
Practice Address - Street 1:1015 E TRINITY LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-3029
Practice Address - Country:US
Practice Address - Phone:615-862-7916
Practice Address - Fax:615-880-2127
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000107991163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse