JOANNE CUSTODIO

PROVIDENCE, RI
NPI1447716527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: RI  APRN02006)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  RN2305195)
367500000X Nurse Anesthetist, Certified Registered
(Licence: RI  RN50949)
Enumeration Date2019-02-14
Last Update Date2019-02-22
Business Address
JOANNE CUSTODIO CRNA
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2000
Mailing Address
JOANNE CUSTODIO CRNA
690 CANTON ST STE 325
WESTWOOD, MA 02090-2324
Phone number: