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CORINNE MARIE CUSTODIO NPI 1346705126


NPI Information

NPI: 1346705126
Provider Name: CORINNE MARIE CUSTODIO
Classification: Registered Nurse - 163WL0100X
Entity Type: Individual

Specialization: Lactation Consultant

Address:
115 STADIUM AVE
MILL VALLEY, CA
ZIP 94941
Phone: (415) 535-4242
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Corinne Marie Custodio is a lactation consultant registered nurse in Mill Valley, CA. Corinne Marie Custodio NPI is 1346705126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 STADIUM AVE
MILL VALLEY, CA
ZIP 94941-506
Phone: (415) 535-4242

The enumeration date for this NPI number is 2/5/2019 and was last updated on 2/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WL0100XRegistered NurseLactation Consultant841695CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.