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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDRA CUSTODIO, AG-PCNP

Active

SANDRA CUSTODIO, AG-PCNP is a Acute Care Nurse Practitioner healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1669886396 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · CHARLOTTESVILLE, VA

Registration Details

NPI Number
1669886396
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2014 (12.193833849085 yrs)
Last Updated
Jan 24, 2025
Licenses
0024189672 (VA)
RN2328892 (MA)
0024189672 (VA)
RN2328892 (MA)

Practice Information

Address
415 RAY C HUNT DR STE 2200
CHARLOTTESVILLE, VA, 229032980
Browse VA providers · Browse ZIP 22903
Phone
4349245700
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner
Additional Specialty
Registered Nurse

Other Acute Care Nurse Practitioner Providers in CHARLOTTESVILLE, VA

Name Credential NPI
VIRGINIA LEBARON ACNP 1497791545
ANN M. ROSSI N.P. 1366464414
CLAREEN AUFDERHEIDE WIENCEK ACNP 1073602850
DAVID V. STRIDER N.P. 1851464994
JILL N ESQUIVEL NP, PHD 1164596920
MR. SHAWN M. FLOYD ACNP-BC 1487711891
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.