Provider Demographics
NPI:1740752245
Name:CASTILLO, KAITLIN B (APRN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAITLIN
Middle Name:B
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:MS
Other - First Name:KAITLIN
Other - Middle Name:B
Other - Last Name:HECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23926 CEDAR GLADE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-4556
Mailing Address - Country:US
Mailing Address - Phone:254-216-2247
Mailing Address - Fax:
Practice Address - Street 1:5895 S BRAESWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3909
Practice Address - Country:US
Practice Address - Phone:713-777-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140044363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily