Provider Demographics
NPI:1134762917
Name:GUERRIER CASTOR, TANIA (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:GUERRIER CASTOR
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 NE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4218
Mailing Address - Country:US
Mailing Address - Phone:754-294-4357
Mailing Address - Fax:888-892-4338
Practice Address - Street 1:107 NE 3RD ST
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4218
Practice Address - Country:US
Practice Address - Phone:754-294-4357
Practice Address - Fax:754-764-0070
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019594363LP0808X
MDAC005294363LP0808X
OH0036118363LP0808X
OR10000425363LP0808X
WAAP61542089363LP0808X
FL11004331363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health