Provider Demographics
NPI:1346041894
Name:CASTANEDA, GEORGEARA (CPD)
Entity type:Individual
Prefix:
First Name:GEORGEARA
Middle Name:
Last Name:CASTANEDA
Suffix:
Gender:
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 DONELSON ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-2508
Mailing Address - Country:US
Mailing Address - Phone:956-413-0142
Mailing Address - Fax:
Practice Address - Street 1:20 DONELSON ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-2508
Practice Address - Country:US
Practice Address - Phone:956-413-0142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI201659374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula