Individual provider · Type 1 NPI
Elizabeth Ann Custodio, NP-C
Nurse Practitioner · Orange, CA
Practice location
170 S Main St
Orange, CA 92868-2801
Mailing address
38919 Huddlestone Ct
Murrieta, CA 92563-2589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95010582 (CA) |
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 1568071660
Elizabeth Ann Custodio, NP-C's National Provider Identifier is 1568071660, issued on Jul 24, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange, CA. The record was last updated on Nov 27, 2023.