Provider Demographics
NPI:1225484512
Name:CASTSTEEL, HANNAH ELIZABETH (CNP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:CASTSTEEL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:CASTSTEEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNP
Mailing Address - Street 1:15 GREEN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-8102
Mailing Address - Country:US
Mailing Address - Phone:870-701-0490
Mailing Address - Fax:870-701-0491
Practice Address - Street 1:630 BURNETT DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-2941
Practice Address - Country:US
Practice Address - Phone:870-425-6971
Practice Address - Fax:870-508-8900
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARA004661OtherAPRN
AR213826758Medicaid