MEDICARE: TANIA GUERRIER CASTOR APRN, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11004331	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61542089	WA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10000425	OR
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95019594	CA
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0036118	OH
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AC005294	MD

General Provider Information

NPI Number	:	1134762917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIA GUERRIER CASTOR APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	107 NE 3RD ST
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4218
Country	:	US
Telephone Number	:	754-294-4357
Fax Number	:	888-892-4338

Provider Business Practice Location Address
First Line	:	278 E COLORADO BLVD APT 1607
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-2257
Country	:	US
Telephone Number	:	754-294-4357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2019
Last Update Date	:	02/19/2026

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