Custalow, Raven

Custalow, Raven is an individual health care provider with primary practice located at 7864 Richmond Tappahannock Hwy , Aylett VA 23009-3056. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Custalow, Raven can be contacted via phone (804) 769-2015.

Contact Information

Primary practice address
7864 Richmond Tappahannock Hwy Aylett VA 23009-3056
Phone: (804) 769-2015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0024176579 Virginia

Profile Details

NPI number 1669955019
LBN Legal business name Custalow, Raven
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2018
Last updated Nov 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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