Active NPIIndividual provider

Joanne Custodio, CRNA

Nurse Anesthetist, Certified Registered in Providence, Rhode Island

NPI Number1447716527
Practice location
825 Chalkstone Ave, Providence, RI 02908-4728
Fax
—
Last updated
February 22, 2019

Joanne Custodio is a Nurse Anesthetist, Certified Registered based in Providence, RI. Joanne Custodio practices in Providence, RI and has the professional credentials of CRNA. The NPI Number for Joanne Custodio is 1447716527 and holds a License No. RN2305195 (MA). The current practice location address for Joanne Custodio is 825 Chalkstone Ave, Providence, RI 02908-4728 and can be reached out via phone at 401-456-2000.

Provider Profile Details

NPI Number
1447716527
Provider Name
Joanne Custodio
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
825 Chalkstone Ave, Providence, RI 02908-4728
Phone Number
401-456-2000
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
February 14, 2019
Last Update Date
February 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
825 Chalkstone Ave
Providence, RI 02908-4728
Zip
02908-4728
Phone Number
401-456-2000
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
690 Canton St Ste 325
Westwood, MA 02090-2324
City
Westwood
State
MA
Zip
02090-2324

License Information

License Number (1)
RN2305195
License State (1)
MA
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
RN50949
License State (2)
RI
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
APRN02006
License State (3)
RI
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Anesthetist, Certified Registered providers near Providence, RI

View all Nurse Anesthetist, Certified Registered providers in Providence →

Frequently Asked Questions

What is the NPI number of Joanne Custodio, CRNA?

The NPI number of Joanne Custodio, CRNA is 1447716527. It was assigned on February 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Joanne Custodio, CRNA?

Joanne Custodio, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number RN2305195.

Where does Joanne Custodio, CRNA practice?

The practice location is 825 Chalkstone Ave, Providence, RI 02908-4728. The office can be reached at 401-456-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447716527 directly on the NPPES registry website.

Browse related providers