CORINNE MARIE CUSTODIO (NPI# 1346705126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346705126 |
Entity Type | Individual |
Full Name | CORINNE MARIE CUSTODIO |
Practice Address |
115 Stadium Ave Mill Valley CA 94941-3506 |
Practice Telephone | 4155354242 |
Enumeration Date | 2019-02-05 |
Last Update Date | 2019-02-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
841695 | CA | Nursing Service Providers |
Street Address |
115 STADIUM AVE |
City | MILL VALLEY |
State | CA |
Zip Code | 94941-3506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730707464 | Onward Cares, Inc. | Private Vehicle | 201 Morning Sun Ave, Mill Valley, CA 94941 | 2020-07-09 |
1255973848 | Cara Nicole Christie | Dietitian, Registered | 35 Miller Avenue Suite #273, Mill Valley, CA 94941 | 2019-10-15 |
1538698774 | Shari Lyn Coskey | Psychologist | 311 Miller Ave Ste A-1, Mill Valley, CA 94941 | 2017-06-10 |
1225572662 | Katelynn Allen | Physical Therapist | 421 Miller Ave, Mill Valley, CA 94941 | 2016-12-05 |
1134591340 | Sheree Lyn Reed | Pharmacist | 800 Redwood Hwy, Frontage Rd #10, Mill Valley, CA 94941 | 2015-10-27 |
1235527904 | Sheila Francis Lynch | Social Worker | 33 Millwood Street, Suite #3, Mill Valley, CA 94941 | 2015-01-05 |
1790197580 | Linden Farrar Berry | Marriage & Family Therapist | 275 Miller Avenue, Mill Valley, CA 94941 | 2014-05-28 |
1073930343 | Eman Elmi | Podiatrist | 7 North Knoll Road Suite 3, Mill Valley, CA 94941 | 2014-03-25 |
1053657726 | Susan Pauly-o'neill | Nurse Practitioner | 750 Redwood Hwy Frontage Rd, Mill Valley, CA 94941 | 2012-12-27 |
1598049652 | John Deri | Psychiatry & Neurology | 10 Millwood Street, Suite #4, Mill Valley, CA 94941 | 2011-10-06 |
Find all providers in zip 94941 |
Taxonomy Code | 163WL0100X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Lactation Consultant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053610980 | Kim C Salinger | Registered Nurse | 239 Miller Ave, Suite 4, Mill Valley, CA 94941-2841 | 2011-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071098 | Corinne Breshears | Registered Nurse | 2848 Cantegra Gln, Escondido, CA 92025-7347 | 2020-10-16 |
1518571660 | Cherie Amour Mouton | Registered Nurse | 43854 46th St W, Lancaster, CA 93536-2365 | 2020-09-06 |
1629688007 | Christine Marie Decker-hughes | Registered Nurse | 11026 Corte Playa Tampico, San Diego, CA 92124-4101 | 2020-07-31 |
1659980662 | Jennifer Gathman | Registered Nurse | 16935 W Bernardo Dr Ste 105, San Diego, CA 92127-1657 | 2020-07-26 |
1497370654 | Tamera Rennaker | Registered Nurse | 4351 Fairwood Ct, Concord, CA 94521-1346 | 2020-06-13 |
1326667353 | Megan Atol | Registered Nurse | 24040 Martingale Way, Tehachapi, CA 93561-8352 | 2020-04-09 |
1194352724 | Jennifer W Rousseau | Registered Nurse | 134 Hahn Way, Cotati, CA 94931-5313 | 2020-03-24 |
1801428503 | Sara Whitehouse | Registered Nurse | 153 Ramona Way, Oceanside, CA 92057-7377 | 2020-02-10 |
1184267601 | Gina Sterchi | Registered Nurse | 327 1/2 Montrose Dr Apt A, Folsom, CA 95630-3381 | 2019-10-28 |
1013550219 | Kimberley Chilcote | Registered Nurse | 3901 Lone Tree Way Fl 2, Antioch, CA 94509-6200 | 2019-10-21 |
Find all providers with the same taxonomy |
City | MILL VALLEY |
Zip Code | 94941 |
Please comment or provide details below to improve the information on CORINNE MARIE CUSTODIO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.