Organization
CASTLE HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLYN C TEAGUE (NURSE PRACTITIONER)
(919) 332-9547
Entity
Organization
Contact information
Practice address
6000 FAYETTEVILLE RD, DURHAM, NC 27713-9754
(919) 544-9021
Mailing address
12108 RANLEIGH CT, RALEIGH, NC 27613-5525
(919) 332-9547
(919) 846-6625
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093794679
NPI
NC
Enumeration date
02/22/2008
Last updated
03/17/2018
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