Provider Demographics
NPI:1578678017
Name:CASTLE, MARILYN G (APRN; BC)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:G
Last Name:CASTLE
Suffix:
Gender:F
Credentials:APRN; BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 BROWN RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-8513
Mailing Address - Country:US
Mailing Address - Phone:207-242-4240
Mailing Address - Fax:
Practice Address - Street 1:164 BROWN RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-8513
Practice Address - Country:US
Practice Address - Phone:207-242-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER047125363LF0000X, 363LW0102X
CA653939363LF0000X
NC5001797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7004338Medicaid
NC2530300Medicare PIN