Individual provider · Type 1 NPI
Sandra Custodio, AG-PCNP
Acute Care Nurse Practitioner · Charlottesville, VA
NPI number
1669886396
Active
Practice location
415 Ray C Hunt Dr Ste 2200
Charlottesville, VA 22903-2980
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Other practice locations
- 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 · (434) 982-1700
- 1215 Lee St, Charlottesville, VA 22908-6232 · (434) 982-1700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infectious Disease Physician | 207RI0200X | 0024189672 (VA) |
| Adult Health Nurse Practitioner | 363LA2200X | RN2328892 (MA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 0024189672 (VA) |
| Registered Nurse | 163W00000X | RN2328892 (MA) |
Acute Care Nurse Practitioner: Definition to come...
13 other providers at this address
- Aburee Duggan, AG-ACNPAcute Care Nurse Practitioner Charlottesville, VA NPI 1801617428
- Bailey R. Aksland, AUD, CCC-AAudiologist Charlottesville, VA NPI 1093374969
- Bradley W. KesserOtolaryngology Physician Charlottesville, VA NPI 1982773594
- Carson R. Staples, PAPhysician Assistant Charlottesville, VA NPI 1285523233
- Eric Michael DowlingOtolaryngology Physician Charlottesville, VA NPI 1790149466
- George Thomas HashisakiOtolaryngology Physician Charlottesville, VA NPI 1922177534
- Jonathan Constantine GarneauOtolaryngology Physician Charlottesville, VA NPI 1487073516
- Martin Hanson, MBBS, FRACSOtolaryngology Physician Charlottesville, VA NPI 1982181905
- Patrick O. McGarey Jr., MDOtolaryngology Physician Charlottesville, VA NPI 1972946796
- Shruti Jayachandra, MDOtolaryngology Physician Charlottesville, VA NPI 1235724121
- Vanessa Torrecillas, MDOtolaryngology Physician Charlottesville, VA NPI 1124554423
- Vusala Snyder, MDOtolaryngology Physician Charlottesville, VA NPI 1235792995
Other acute care nurse practitioner providers in Charlottesville
- Rebecca L. Hand, ACNPAcute Care Nurse Practitioner Charlottesville, VA NPI 1013169077
- Melinda L. Bowles-Childress, ACNPAcute Care Nurse Practitioner Charlottesville, VA NPI 1013255637
- Kimberly GahringAcute Care Nurse Practitioner Charlottesville, VA NPI 1013566033
- Heather P. Craig, AC-PNPAcute Care Nurse Practitioner Charlottesville, VA NPI 1013626860
- Jesse L. Wallace, AG-ACNPAcute Care Nurse Practitioner Charlottesville, VA NPI 1013697267
- Jessica C. Di Zio, PNPAcute Care Nurse Practitioner Charlottesville, VA NPI 1013781376
- Christine MazimbaAcute Care Nurse Practitioner Charlottesville, VA NPI 1023340775
- Elizabeth W. Good, N.P.Acute Care Nurse Practitioner Charlottesville, VA NPI 1033410592
About NPI 1669886396
Sandra Custodio, AG-PCNP's National Provider Identifier is 1669886396, issued on Jun 20, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Charlottesville, VA. The record was last updated on Jan 24, 2025.