Individual provider · Type 1 NPI
Nathaniel Custodio Diwa
Psychiatric/Mental Health Nurse Practitioner · Rialto, CA
NPI number
1487570016
Active
Practice location
2779 Linde Vista Dr
Rialto, CA 92377-3417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95040283 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1487570016
Nathaniel Custodio Diwa's National Provider Identifier is 1487570016, issued on Jun 27, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rialto, CA. The record was last updated on Jun 27, 2026.