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Lynette M Castronovo, NP
Gerontology Nurse Practitioner in Rockford, Illinois
NPI 1821055484

Lynette M Castronovo is a Gerontology Nurse Practitioner based in Rockford, IL and is specialized in Gerontology. Lynette M Castronovo practices in Rockford, IL and has the professional credentials of NP. The NPI Number for Lynette M Castronovo is 1821055484 and holds a License No. 4704200188 (Illinois).

The current practice location address for Lynette M Castronovo is 3401 N Perryville Rd, Rockford, IL and can be reached out via phone at 815-971-2000 and via fax at 815-971-9447.

Location: 3401 N Perryville Rd, Rockford, IL, 61114-8011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821055484
Provider Name
Lynette M Castronovo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3401 N Perryville Rd, Rockford, IL, 61114-8011
Phone Number
815-971-2000
Fax Number
815-971-9447
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4368173 05 MI
institution
Provider Business Practice Location Address Details
Address
3401 N Perryville Rd
City
Rockford
State
Illinois
Zip
61114-8011
Phone Number
815-971-2000
Fax Number
815-971-9447
person
Provider Business Mailing Address Details
Address
3401 N Perryville Rd
City
Rockford
State
Illinois
Zip
61114-8011
Phone Number
815-971-2000
Fax Number
815-971-9447
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209006392 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
4704200188 (Michigan)
Definition
Definition to come...
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