SANDRA CUSTODIO, AG-PCNP

AG-PCNP

Acute Care Nurse Practitioner

NPI: 1669886396IndividualAccepts Medicare

Specialties, Licenses & Credentials

Infectious Disease Physician

Internal Medicine — Infectious Disease

Code: 207RI0200X

0024189672(VA)

Adult Health Nurse Practitioner

Nurse Practitioner — Adult Health

Code: 363LA2200X

RN2328892(MA)

Acute Care Nurse PractitionerPrimary

Nurse Practitioner — Acute Care

Code: 363LA2100X

0024189672(VA)

Registered Nurse

Registered Nurse

Code: 163W00000X

RN2328892(MA)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2000

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Contact & Hours

Address: 415 RAY C HUNT DR STE 2200
CHARLOTTESVILLE, VA 22903
Phone: (434) 924-5700

Locations (3)

Practice Location

415 RAY C HUNT DR STE 2200, CHARLOTTESVILLE, VA

Practice Location

1215 LEE ST, CHARLOTTESVILLE, VA

Practice Location

1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA

Quick Facts

NPI: 1669886396
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 4
Locations: 3
Years in Practice: 26

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