Active NPIIndividual provider

Stephanie C Custodio

Licensed Practical Nurse in Bridgeton, New Jersey

NPI Number1881385797
Practice location
25 E Broad St, Bridgeton, NJ 08302-2503
Fax
—
Last updated
May 19, 2023

Stephanie Carmen Custodio is a Licensed Practical Nurse based in Bridgeton, NJ. Stephanie Carmen Custodio practices in Bridgeton, NJ. The NPI Number for Stephanie Carmen Custodio is 1881385797 and holds a License No. 26NP04816700 (NJ). The current practice location address for Stephanie Carmen Custodio is 25 E Broad St, Bridgeton, NJ 08302-2503 and can be reached out via phone at 856-459-2402.

Provider Profile Details

NPI Number
1881385797
Provider Name
Stephanie Carmen Custodio
Provider Entity Type
Individual
Gender
Female
Address
25 E Broad St, Bridgeton, NJ 08302-2503
Phone Number
856-459-2402
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
No
Other Names
Stephanie Carmen Velez (Former Name)
Provider Enumeration Date
May 19, 2023
Last Update Date
May 19, 2023
Certification Date
May 19, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 E Broad St
Bridgeton, NJ 08302-2503
Zip
08302-2503
Phone Number
856-459-2402
Bridgeton, NJ 08302Get directions →

Provider Business Mailing Address Details

Address
1026 Falcon Way
Vineland, NJ 08360-4469
City
Vineland
State
NJ
Zip
08360-4469
Phone Number
609-805-6509

License Information

License Number
26NP04816700
License State
NJ
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Stephanie C Custodio?

The NPI number of Stephanie C Custodio is 1881385797. It was assigned on May 19, 2023 and is currently active in the NPPES registry.

What is the specialty of Stephanie C Custodio?

Stephanie C Custodio is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NJ under license number 26NP04816700.

Where does Stephanie C Custodio practice?

The practice location is 25 E Broad St, Bridgeton, NJ 08302-2503. The office can be reached at 856-459-2402 (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 1881385797 directly on the NPPES registry website.

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