Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 4704230254 | MI |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 4704230254 | MI |
NPI | 1083928956 |
---|---|
Provider Name | Ms. Kari Zureki Castillo |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2010 |
Last Update Date | 06/12/2019 |