MEDICARE: ANGELA CASTO PMHNP

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	2023204873	TN

General Provider Information

NPI Number	:	1164292868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA CASTO PMHNP

Provider Business Mailing Address
First Line	:	2710 SOARING EAGLE CT
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37127-8324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5650 S 12TH AVE STE 132
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85706-3187
Country	:	US
Telephone Number	:	877-465-6650
Fax Number	:	804-294-2775

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

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	07/21/2025

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