Marvis Custer

Individual Active
NPI 1215237987
Clinical Nurse Specialist Bloomington, IL

Marvis Custer holds NPI 1215237987, with a primary taxonomy of clinical nurse specialist and a practice location in Bloomington, IL. The number was issued on October 28, 2010 and the NPPES record was last updated on October 28, 2010.

This record hasn't been updated in NPPES since 2010. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Clinical Nurse Specialist Primary 364S00000X 209003675 (IL)

Practice location

1701 E College Ave
Bloomington, IL 61704-2101
Phone: (309) 662-3000

Local context

Active NPPES records list 1 provider with clinical nurse specialist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 164 in Illinois and 1,928 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Marvis Custer
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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