Provider Demographics
NPI:1083714778
Name:CASTEEL, LEILA NELL (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:LEILA
Middle Name:NELL
Last Name:CASTEEL
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4473 GOSEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-7708
Mailing Address - Country:US
Mailing Address - Phone:470-269-2485
Mailing Address - Fax:
Practice Address - Street 1:1607 WESTGATE CIR STE 200
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8077
Practice Address - Country:US
Practice Address - Phone:615-376-8195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN213045163W00000X
TN24247207R00000X, 363LF0000X
GAAPRN213045363LF0000X
FLARNP3063102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA2021503726Medicare UPIN