Individual provider · Type 1 NPI

Melisa Custo

Family Nurse Practitioner · Evanston, IL

NPI number 1568367209 Active

About NPI 1568367209

Melisa Custo's National Provider Identifier is 1568367209, issued on Oct 12, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Evanston, IL. The record was last updated on Oct 12, 2026.