Provider Demographics
NPI:1780809046
Name:CASTILLO, YOLANDA (ANP)
Entity type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 MELALEUCA AVE APT I
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-3834
Mailing Address - Country:US
Mailing Address - Phone:760-931-6957
Mailing Address - Fax:
Practice Address - Street 1:920 MELALEUCA AVE APT I
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-3834
Practice Address - Country:US
Practice Address - Phone:760-931-6957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13569363L00000X
AK755363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health