Provider Demographics
NPI:1851760359
Name:KASTEN, CAMILLE ANN (APRN)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:ANN
Last Name:KASTEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CAMILLE
Other - Middle Name:ANN
Other - Last Name:EDWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1435 S OSPREY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2905
Mailing Address - Country:US
Mailing Address - Phone:941-298-0045
Mailing Address - Fax:941-279-3145
Practice Address - Street 1:1435 S OSPREY AVE STE 200
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2905
Practice Address - Country:US
Practice Address - Phone:941-298-0045
Practice Address - Fax:941-279-3145
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9238474363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily