Provider Demographics
NPI:1386411858
Name:CASTRO, ARNELLE JOSETTE (APRN)
Entity type:Individual
Prefix:
First Name:ARNELLE
Middle Name:JOSETTE
Last Name:CASTRO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ARNELLE
Other - Middle Name:JOSETTE
Other - Last Name:CESAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3809 NE 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-7343
Mailing Address - Country:US
Mailing Address - Phone:347-497-0733
Mailing Address - Fax:
Practice Address - Street 1:3809 NE 17TH AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-7343
Practice Address - Country:US
Practice Address - Phone:347-497-0733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11030012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty