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Search › Virginia › Primary Care Nurse Practitioner

Raven Custalow, AGPCNP-BC

NPI 1669955019 · on the registry since 2018

Practice

Address
7864 Richmond Tappahannock Hwy
Aylett, VA 23009
Phone
(804) 769-2015
Organisation at this address
Upper Mattaponi Indian Tribe
Upper Mattaponi Indian Tribe
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Primary Care Nurse Practitioner
363LP2300X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia