Individual
RAVEN CUSTALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 769-2015
Mailing address
3944 UPSHAW RD, AYLETT, VA 23009-2912
(804) 928-8477
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024176579
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001529971
—
VA
Enumeration date
09/12/2018
Last updated
11/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us