Provider Demographics
NPI:1760502678
Name:CASTRO-KRAWTZ, TERRY MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:MARIE
Last Name:CASTRO-KRAWTZ
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 1:29529 BIG PINE ST
Mailing Address - Street 2:
Mailing Address - City:BIG PINE KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33043-6200
Mailing Address - Country:US
Mailing Address - Phone:305-294-1089
Mailing Address - Fax:305-296-1530
Practice Address - Street 1:5220 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4302
Practice Address - Country:US
Practice Address - Phone:305-294-1089
Practice Address - Fax:305-296-1530
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1904732163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management