Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTIAN CUSTODIO, FNP
ActiveCHRISTIAN CUSTODIO, FNP is a Primary Care Nurse Practitioner healthcare provider located in POMONA, California. NPI 1811502404 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · POMONA, CA
Registration Details
- NPI Number
- 1811502404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2020 (5.92456387895 yrs)
- Last Updated
- Sep 10, 2020
- License
-
95015354 (CA)
Practice Information
- Address
-
1196 N PARK AVEPOMONA, CA, 917683027Browse CA providers · Browse ZIP 91768
- Phone
- 9096234050
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in POMONA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. KATRINA LATRICE BRITTON | NURSE PRACTITIONER | 1649646803 |
| CECILIA DOMINGUEZ PIMENTEL | — | 1922982024 |
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.