Individual provider · Type 1 NPI

Myiah Custer, CRNP

Nurse Practitioner · Wilkes Barre, PA

NPI number 1023934866 Active

Practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0001

Call (570) 808-6020 Map

Fax (570) 808-2306

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XSP036312 (PA)
Nurse Practitioner 363L00000XSP036312 (PA)
Nurse Practitioner Primary 363L00000XRN748939 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1023934866

Myiah Custer, CRNP's National Provider Identifier is 1023934866, issued on Jun 25, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Aug 26, 2026.