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Contact Information

KEITHA K MOUNTCSTLE, RN, ED.D., CNS, NNP
205 W DECATUR AVE
CLOVIS, CA93611-7124
 Phone: 559-322-0868
 Fax: 559-278-6360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

364SN0000X 89 Certified Clinical Nurse Specialist
 

Neonatal

363LN0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KEITHA K MOUNTCSTLE · (Female)

NPI Number 1972500189
Status Active
Credentials RN, ED.D., CNS, NNP
Entity Individual
Enumeration date 07/01/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 10646
  • CA License # 708
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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