Provider Demographics
NPI:1831339894
Name:CASTAGNA, ANTHONY JOSEPH (LVN)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:CASTAGNA
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2376 VIA LATON
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-7264
Mailing Address - Country:US
Mailing Address - Phone:530-370-0960
Mailing Address - Fax:
Practice Address - Street 1:2376 VIA LATON
Practice Address - Street 2:2376 VIA LATON
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-7264
Practice Address - Country:US
Practice Address - Phone:530-370-0960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 199767310500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness