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Individual
MYIAH CUSTER
Active
Individual
MYIAH CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN748939
PA
363L00000X
Nurse Practitioner
SP036312
PA
363LP2300X
Primary Care Nurse Practitioner
SP036312
PA
Other
Enumeration date
06/25/2026
Last updated
08/26/2026
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