Provider Demographics
NPI:1053561001
Name:CASTOR, DARWIN A (CRNAP)
Entity type:Individual
Prefix:MR
First Name:DARWIN
Middle Name:A
Last Name:CASTOR
Suffix:
Gender:M
Credentials:CRNAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 BOB HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:HOLDERNESS
Mailing Address - State:NH
Mailing Address - Zip Code:03245-5500
Mailing Address - Country:US
Mailing Address - Phone:603-968-9627
Mailing Address - Fax:
Practice Address - Street 1:181 CORLISS LANE
Practice Address - Street 2:UCVH
Practice Address - City:COLEBROOK
Practice Address - State:NH
Practice Address - Zip Code:03576
Practice Address - Country:US
Practice Address - Phone:603-237-8228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH034689-23-11367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered