Healthcare Provider Details

I. General information

NPI: 1134762917
Provider Name (Legal Business Name): TANIA GUERRIER CASTOR APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

278 E COLORADO BLVD APT 1607
PASADENA CA
91101-2257
US

IV. Provider business mailing address

107 NE 3RD ST
HALLANDALE BEACH FL
33009-4218
US

V. Phone/Fax

Practice location:
  • Phone: 754-294-4357
  • Fax:
Mailing address:
  • Phone: 754-294-4357
  • Fax: 888-892-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10000425
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0036118
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11004331
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61542089
License Number StateWA
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95019594
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAC005294
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: