Raven Custalow, AGPCNP-BC
NPI #1669955019 in Aylett, Virginia
Provider Information
- NPI Number
- 1669955019
- Entity Type
- Individual
- Name
- Raven Custalow, AGPCNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- AGPCNP-BC
- Enumeration Date
- Sep 12, 2018
- Last Updated
- Nov 8, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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