Healthcare Provider Details

I. General information

NPI: 1104731678
Provider Name (Legal Business Name): SARAH CASTLEBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 S WEST ST
PLAINFIELD WI
54966-9608
US

IV. Provider business mailing address

6910 OLD HIGHWAY 18
STEVENS POINT WI
54482-9155
US

V. Phone/Fax

Practice location:
  • Phone: 715-335-6366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number151323-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: