Individual
REBECCA A CASTLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2640 COUNTRY CLUB RD STE 400, LAKE CHARLES, LA 70605-6079
(337) 426-0919
Mailing address
108 ORCHARD ST, SULPHUR, LA 70663-6268
(337) 540-3810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09430
LA
363LF0000X
Family Nurse Practitioner
API34446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468286
—
LA
Enumeration date
07/25/2017
Last updated
01/31/2020
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