Provider Demographics
NPI:1548987183
Name:CASTLE, GINA ANDREA
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:ANDREA
Last Name:CASTLE
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 1:219 AUTUMN WAY
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-7246
Mailing Address - Country:US
Mailing Address - Phone:614-989-0761
Mailing Address - Fax:
Practice Address - Street 1:219 AUTUMN WAY
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-7246
Practice Address - Country:US
Practice Address - Phone:614-989-0761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider