Provider Demographics
NPI:1689266751
Name:BELEN, EMILY ROSE CASTRO (NP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY ROSE
Middle Name:CASTRO
Last Name:BELEN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:310 SANTA FE DR STE 111
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5123
Mailing Address - Country:US
Mailing Address - Phone:760-633-6245
Mailing Address - Fax:760-633-6180
Practice Address - Street 1:310 SANTA FE DR STE 111
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5123
Practice Address - Country:US
Practice Address - Phone:760-633-6245
Practice Address - Fax:760-633-6180
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA95016558363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily