Provider Demographics
NPI:1336979657
Name:DEL CASTILLO, SHEENA MAE DELA CRUZ
Entity type:Individual
Prefix:
First Name:SHEENA MAE
Middle Name:DELA CRUZ
Last Name:DEL CASTILLO
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:PSC 455
Mailing Address - Street 2:BOX F 208
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96540-0003
Mailing Address - Country:US
Mailing Address - Phone:671-344-9120
Mailing Address - Fax:
Practice Address - Street 1:PSC 455 BOX 208
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96540-0003
Practice Address - Country:US
Practice Address - Phone:671-344-9120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GURX1003163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management