Anna Custodio, AGPCNP-BC

Individual Active
NPI 1275149106
Primary Care Nurse Practitioner New York, NY

Anna Custodio, AGPCNP-BC holds NPI 1275149106, with a primary taxonomy of primary care nurse practitioner and a practice location in New York, NY. The number was issued on September 16, 2020 and the NPPES record was last updated on September 16, 2020. The record lists 2 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X F309861-01 (NY)
Registered Nurse 163W00000X 604515 (NY)

Practice locations

480 Main St Apt 3G
New York, NY 10044-0406
Phone: (845) 521-2887
535 East 73rd St
New York, NY 10044
Phone: (646) 608-3824

Local context

Active NPPES records list 588 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 295 of them within 10 miles.

The same primary taxonomy is listed by 517 in New York and 13,136 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
Ms. Anna G. Custodio
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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