Basic Information
Provider Information
NPI: 1265673446
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CASTELLANOS
FirstName: LUCINDA
MiddleName: SILVA
NamePrefix: MS.
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2202 TREE LINE DR
Address2:  
City: SANTA MARIA
State: CA
PostalCode: 934589081
CountryCode: US
TelephoneNumber: 8053461919
FaxNumber:  
Practice Location
Address1: 429 N SAN ANTONIO RD
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931101399
CountryCode: US
TelephoneNumber: 8058841629
FaxNumber: 8058841602
Other Information
ProviderEnumerationDate: 03/17/2009
LastUpdateDate: 03/17/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X621888CAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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