Theresa Marie Custodio, FNP
NPI #1093609562 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1093609562
- Entity Type
- Individual
- Name
- Theresa Marie Custodio, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- FNP
- Enumeration Date
- Jun 7, 2025
- Last Updated
- Jun 25, 2025
Practice Location
- Address
- 3912 GOODRICH AVE NE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87110-1086
- Phone
- (505) 322-4444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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