Provider Demographics
NPI:1134608854
Name:CASTILLO, YOLANDA (APRN)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 NE 26TH DR
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-7158
Mailing Address - Country:US
Mailing Address - Phone:305-254-8901
Mailing Address - Fax:305-254-8902
Practice Address - Street 1:132 NE 26TH DR
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-7158
Practice Address - Country:US
Practice Address - Phone:305-333-4462
Practice Address - Fax:305-402-6154
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1658922163W00000X
FLAPRN11006964363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse