Provider Demographics
NPI:1053960526
Name:CALIX CASTRO, BETH ALANA (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ALANA
Last Name:CALIX CASTRO
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 S QUIETO WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-2630
Mailing Address - Country:US
Mailing Address - Phone:303-717-8037
Mailing Address - Fax:
Practice Address - Street 1:884 S QUIETO WAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-2630
Practice Address - Country:US
Practice Address - Phone:303-717-8037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-08
Last Update Date:2019-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO188383163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health