Provider Demographics
NPI:1396575403
Name:PALMERO CASTELLANOS, YARIMA REGLA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:YARIMA
Middle Name:REGLA
Last Name:PALMERO CASTELLANOS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 NE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1518
Mailing Address - Country:US
Mailing Address - Phone:786-354-7612
Mailing Address - Fax:
Practice Address - Street 1:1118 NE 10TH ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-1518
Practice Address - Country:US
Practice Address - Phone:786-354-7612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11034392363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health