Provider Demographics
NPI:1639311335
Name:CASTLE, KAREN REESE (FNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:REESE
Last Name:CASTLE
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:4904 TIMBER RIDGE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-1828
Mailing Address - Country:US
Mailing Address - Phone:770-942-4822
Mailing Address - Fax:770-942-5311
Practice Address - Street 1:4904 TIMBER RIDGE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-1828
Practice Address - Country:US
Practice Address - Phone:770-942-4822
Practice Address - Fax:770-942-5311
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2011-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN150641363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily