Provider Demographics
NPI:1871748376
Name:CASTLE, LINDSEY MARIE (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:MARIE
Last Name:CASTLE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4670 BAMERICK RD
Mailing Address - Street 2:
Mailing Address - City:JAMESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13078-8535
Mailing Address - Country:US
Mailing Address - Phone:315-469-6929
Mailing Address - Fax:
Practice Address - Street 1:4670 BAMERICK RD
Practice Address - Street 2:
Practice Address - City:JAMESVILLE
Practice Address - State:NY
Practice Address - Zip Code:13078-8535
Practice Address - Country:US
Practice Address - Phone:315-469-6929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY563955-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse