Provider Demographics
NPI:1255046512
Name:CASTILLO, SHEILA LYNN (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:LYNN
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11960 NE 16TH AVE APT 108
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6625
Mailing Address - Country:US
Mailing Address - Phone:786-955-7332
Mailing Address - Fax:
Practice Address - Street 1:400 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-1152
Practice Address - Country:US
Practice Address - Phone:954-357-5785
Practice Address - Fax:954-357-5779
Is Sole Proprietor?:No
Enumeration Date:2023-01-20
Last Update Date:2023-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11017805363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily