Individual
ERIC MATTHEW CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
551 E HAWTHORNE RD, SPOKANE, WA 99218-1417
(509) 489-2369
Mailing address
5224 E LANE PARK CT, MEAD, WA 99021-9026
(509) 599-3952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61407853
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61407853
WA
Other
Enumeration date
02/06/2023
Last updated
09/06/2024
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