Individual provider · Type 1 NPI
Mariah Rose Custer, FNP-C
Nurse Practitioner · Oakland, CA
Practice location
1411 E 31st St
Oakland, CA 94602-1018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95028450 (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 1881464147
Mariah Rose Custer, FNP-C's National Provider Identifier is 1881464147, issued on Jan 8, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oakland, CA. The record was last updated on Jan 8, 2024.