Provider Demographics
NPI:1710076609
Name:CASTO, TASHA L (FNP)
Entity type:Individual
Prefix:MRS
First Name:TASHA
Middle Name:L
Last Name:CASTO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TASHA
Other - Middle Name:LC
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:HOMETOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25109-0040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4720 NELSON BROGDON BLVD
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-3480
Practice Address - Country:US
Practice Address - Phone:770-945-1990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN183773363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily