Custodio, Sandra

Custodio, Sandra is an individual health care provider with primary practice located at 1300 Jefferson Park Ave , Charlottesville VA 22903-3363. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Infectious Disease, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Custodio, Sandra can be contacted via phone (434) 982-1700.

Contact Information

Primary practice address
1300 Jefferson Park Ave Charlottesville VA 22903-3363
Phone: (434) 982-1700
Fax: (434) 244-4480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2328892 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 0024189672 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024189672 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN2328892 Massachusetts

Profile Details

NPI number 1669886396
LBN Legal business name Custodio, Sandra
Credentials AG-PCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2014
Last updated May 24th, 2024 - 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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