Provider Demographics
NPI:1881239051
Name:CASTILLO ARIAGA, ANA L
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:L
Last Name:CASTILLO ARIAGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 N 10TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-2538
Mailing Address - Country:US
Mailing Address - Phone:702-353-2786
Mailing Address - Fax:
Practice Address - Street 1:637 N 10TH ST APT 2
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-2538
Practice Address - Country:US
Practice Address - Phone:702-353-2786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant