Provider Demographics
NPI:1598464539
Name:CASTELLANO, MARIA LYDIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:LYDIA
Last Name:CASTELLANO
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 1:37313 SANDY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:N RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-5846
Mailing Address - Country:US
Mailing Address - Phone:956-342-0303
Mailing Address - Fax:
Practice Address - Street 1:37313 SANDY RIDGE DR
Practice Address - Street 2:
Practice Address - City:N RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-5846
Practice Address - Country:US
Practice Address - Phone:956-342-0303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide