Provider Demographics
NPI:1942433800
Name:CASILLAS-GONZALEZ, NORMA A (RN, BSN, PHN)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:A
Last Name:CASILLAS-GONZALEZ
Suffix:
Gender:F
Credentials:RN, BSN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4031 W NOBLE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-1631
Mailing Address - Country:US
Mailing Address - Phone:559-782-3901
Mailing Address - Fax:559-782-3911
Practice Address - Street 1:4031 W NOBLE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-1631
Practice Address - Country:US
Practice Address - Phone:559-782-3901
Practice Address - Fax:559-782-3911
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA607492163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health