Provider Demographics
NPI:1598410409
Name:CASTILLOW, AIMEE HOGAN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:HOGAN
Last Name:CASTILLOW
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7495 MEADOWS DR S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36619-3675
Mailing Address - Country:US
Mailing Address - Phone:251-767-7724
Mailing Address - Fax:
Practice Address - Street 1:7495 MEADOWS DR S
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619-3675
Practice Address - Country:US
Practice Address - Phone:251-767-7724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF01220721363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily