Provider Demographics
NPI:1982183885
Name:CASTLEMAN, SARAH ROSE (DNP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ROSE
Last Name:CASTLEMAN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7808 BROOKLYN AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0982
Mailing Address - Country:US
Mailing Address - Phone:479-263-4681
Mailing Address - Fax:
Practice Address - Street 1:900 SOUTH POWELL STREET
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764
Practice Address - Country:US
Practice Address - Phone:479-872-3041
Practice Address - Fax:479-365-2165
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily