Provider Demographics
NPI:1356225981
Name:CASTILLO, SARAH NICHOLE (CNM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICHOLE
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:NICHOLE
Other - Last Name:HEUNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9702 BLACKFOOT DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-5358
Mailing Address - Country:US
Mailing Address - Phone:661-632-6764
Mailing Address - Fax:
Practice Address - Street 1:9702 BLACKFOOT DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-5358
Practice Address - Country:US
Practice Address - Phone:661-632-6764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236558367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife