Individual provider · Type 1 NPI

Raven Custalow, AGPCNP-BC

Family Medicine Physician · Aylett, VA

NPI number 1669955019 Active

Practice location

7864 Richmond Tappahannock Hwy
Aylett, VA 23009-3056

Call (804) 769-2015 Map

Mailing address

3944 Upshaw Rd
Aylett, VA 23009-2912

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X0024176579 (VA)
Primary Care Nurse Practitioner 363LP2300X0024176579 (VA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11 other providers at this address

Other family medicine physician providers in Aylett

See all in Aylett →

About NPI 1669955019

Raven Custalow, AGPCNP-BC's National Provider Identifier is 1669955019, issued on Sep 12, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Aylett, VA. The record was last updated on Oct 15, 2026.