Provider Demographics
NPI:1508602749
Name:CASTLE, JOSHUA (FNP-C)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:CASTLE
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:JOSH
Other - Middle Name:
Other - Last Name:CASTLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:116 BLAINE TRL
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-9295
Mailing Address - Country:US
Mailing Address - Phone:903-930-4252
Mailing Address - Fax:
Practice Address - Street 1:2828 BILL OWENS PKWY STE B
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-2102
Practice Address - Country:US
Practice Address - Phone:903-309-1109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1168315363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily