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NPI Code Detail

MEDICARE: JUDY A CUSTER CRNP

MEDICARE:   JUDY A CUSTER  CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerSP003221CPA

General Provider Information

NPI Number : 1942204540
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY A CUSTER CRNP
Provider Business Mailing Address
First Line : 342 RICHARD ST
Second Line :
City : BEDFORD
State : PA
Zip : 15522
Country : US
Telephone Number : 814-623-8414
Fax Number :
Provider Business Practice Location Address
First Line : 342 RICHARD ST
Second Line :
City : BEDFORD
State : PA
Zip : 15522
Country : US
Telephone Number : 814-623-8414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 06/02/2009

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Directions to “ JUDY A CUSTER CRNP” Practice Location

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