Provider Demographics
NPI:1134212939
Name:CASTNER, DEBRA (NP,RN, MSN, APRN,CNN)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:CASTNER
Suffix:
Gender:F
Credentials:NP,RN, MSN, APRN,CNN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6160 KEMPSVILLE CIR STE 302A
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3936
Mailing Address - Country:US
Mailing Address - Phone:757-466-9288
Mailing Address - Fax:757-457-3691
Practice Address - Street 1:9550 HOSPITAL AVE
Practice Address - Street 2:PO BOX 923
Practice Address - City:NASSAWADOX
Practice Address - State:VA
Practice Address - Zip Code:23413
Practice Address - Country:US
Practice Address - Phone:757-442-9080
Practice Address - Fax:757-442-9082
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO06161900363LA2100X
VA0024172475363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NO06161900OtherRN/APRN LICENSE NUMBER
027126BSBMedicare ID - Type Unspecified
NJ26NO06161900OtherRN/APRN LICENSE NUMBER