Provider Demographics
NPI:1174150031
Name:CASTANO, WHITNY NICOLE (APN)
Entity type:Individual
Prefix:MS
First Name:WHITNY
Middle Name:NICOLE
Last Name:CASTANO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:WHITNY
Other - Middle Name:NICOLE
Other - Last Name:CASTANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, RN, APN, AGACNP
Mailing Address - Street 1:1730 REX AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-8704
Mailing Address - Country:US
Mailing Address - Phone:856-912-7331
Mailing Address - Fax:
Practice Address - Street 1:255 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2982
Practice Address - Country:US
Practice Address - Phone:856-235-1214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01009300363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care