Individual provider · Type 1 NPI

Stephanie Carmen Custodio

Licensed Practical Nurse · Bridgeton, NJ

NPI number 1881385797 Active

Practice location

25 E Broad St
Bridgeton, NJ 08302-2503

Mailing address

1026 Falcon Way
Vineland, NJ 08360-4469

Other practice locations

  • 9 Landis Ave, Bridgeton, NJ 08302-4315 · (856) 451-4169

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X26NP04816700 (NJ)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

7 other providers at this address

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About NPI 1881385797

Stephanie Carmen Custodio's National Provider Identifier is 1881385797, issued on May 19, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bridgeton, NJ. The record was last updated on May 19, 2023.