Individual provider · Type 1 NPI
Melissa Custis, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Salisbury, NC
NPI number
1073054151
Active
Practice location
1601 Brenner Ave
Salisbury, NC 28144-2515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5009354 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073054151
Melissa Custis, PMHNP's National Provider Identifier is 1073054151, issued on Mar 9, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Salisbury, NC. The record was last updated on Mar 9, 2017.