Individual provider · Type 1 NPI
Giles Cyrus Custodio Crockett-Sano, AGACNP-BC
Nurse Practitioner · Orange, CA
Practice location
101 The City Dr S
Orange, CA 92868-3201
Other practice locations
- 9353 Bolsa Ave Ste A100, Westminster, CA 92683-5951 · (800) 641-4651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95015366 (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 1699373365
Giles Cyrus Custodio Crockett-Sano, AGACNP-BC's National Provider Identifier is 1699373365, issued on Oct 14, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange, CA. The record was last updated on Jul 29, 2026.