Raven Custalow is a Aylett, Virginia based nurse practitioner who is specialized as Primary Care nurse. Active license number of Raven Custalow is 0024176579 for Primary Care in Virginia. Her current practice location is 7864 Richmond Tappahannock Hwy, Aylett. Patients can reach her at 804-769-2015. Raven Custalow is AGPCNP-BC with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1669955019. Raven Custalow is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Raven Custalow speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1669955019
NPI Enumeration Date:
12 Sep, 2018
NPI Last Update On:
08 Nov, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Raven Custalow are as mentioned below.
License Number
Specialization
State
Status
0024176579
Primary Care
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Raven Custalow such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3001529971
Medicaid
Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Raven Custalow 3944 Upshaw Rd, Aylett, Virginia
Zip:
23009-2912
Phone Number:
804-928-8477
Patients can reach Raven Custalow at 7864 Richmond Tappahannock Hwy, Aylett, Virginia or can call to book an appointment on 804-769-2015.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.