SANDRA CUSTODIO

CHARLOTTESVILLE, VA
NPI1669886396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: VA  0024189672)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MA  RN2328892)
207RI0200X Internal Medicine, Infectious Disease
(Licence: VA  0024189672)
363LA2200X Nurse Practitioner, Adult Health
(Licence: MA  RN2328892)
Enumeration Date2014-06-20
Last Update Date2024-05-24
Business Address
SANDRA CUSTODIO AG-PCNP
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903-3363
Phone number: 434-982-1700
Mailing Address
SANDRA CUSTODIO AG-PCNP
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number: