Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA MARIE CUSTODIO, FNP
ActiveTHERESA MARIE CUSTODIO, FNP is a Primary Care Nurse Practitioner healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1093609562 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1093609562
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2025 (1.1423779440646 yrs)
- Last Updated
- Jun 25, 2025
- License
-
84185 (NM)
Practice Information
- Address
-
3912 GOODRICH AVE NEALBUQUERQUE, NM, 871101086Browse NM providers · Browse ZIP 87110
- Phone
- 5053224444
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| BAUDILIO JOSE' VELEZ | ARNP | 1023105632 |
| MS. CAROL SCHAFFER | NP-C | 1831497288 |
| RADHA MARIE DENMARK | CNP | 1144581521 |
| JUYUNG KIM | — | 1487076220 |
| MARNELLI JOANNE HAMILTON | NP, RN | 1164848636 |
| BIANCA MEZA | FNP-BC | 1982003158 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.