Provider Demographics
NPI:1649583964
Name:CASTLE, SHERRI LYNNE (NP)
Entity type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:LYNNE
Last Name:CASTLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:LYNNE
Other - Last Name:MUSGRAVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 19256
Mailing Address - Street 2:
Mailing Address - City:COLORADO CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81019
Mailing Address - Country:US
Mailing Address - Phone:888-852-6672
Mailing Address - Fax:305-891-4228
Practice Address - Street 1:3501 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:CO
Practice Address - Zip Code:81052
Practice Address - Country:US
Practice Address - Phone:719-336-2600
Practice Address - Fax:719-591-6486
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0010174-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health