Provider Demographics
NPI:1831934199
Name:CASTRO, CYNTHIA M (FNP-C)
Entity type:Individual
Prefix:MISS
First Name:CYNTHIA
Middle Name:M
Last Name:CASTRO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19507 ASTOR PL
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-1673
Mailing Address - Country:US
Mailing Address - Phone:774-386-7425
Mailing Address - Fax:
Practice Address - Street 1:11024 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3720
Practice Address - Country:US
Practice Address - Phone:818-503-9800
Practice Address - Fax:818-503-9801
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95255256163W00000X
CA95036106363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse