Healthcare Provider Details

I. General information

NPI: 1669187258
Provider Name (Legal Business Name): NAYTE TABRAUE CASTRO APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7820 N ARMENIA AVE STE C
TAMPA FL
33604-3852
US

IV. Provider business mailing address

18607 KUYKENDAHL RD
SPRING TX
77379-3453
US

V. Phone/Fax

Practice location:
  • Phone: 813-659-5950
  • Fax: 855-576-4803
Mailing address:
  • Phone: 281-370-1122
  • Fax: 281-370-1139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1017147
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11031540
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: