Provider Profile

Marie Lyn Custodio, NURSE PRACTITIONER

Unclaimed Profile

About Marie Lyn Custodio

Listed in the NPI registry as a nurse practitioner, Marie Lyn Custodio, NURSE PRACTITIONER practices in San Diego, CA. Marie Lyn is also listed as specializing in nurse practitioner — family. NPI 1356981526 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2019

Specialty

Credentials & Licensing

CA licenceAs reported to the NPI registry
No. 80555As reported
CA licenceAs reported to the NPI registry
No. 95013240As reported
NPINational Provider Identifier
1356981526Issued 2020

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Marie Lyn Custodio specialize in?

Marie Lyn Custodio is a nurse practitioner in San Diego, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Marie Lyn Custodio located?

Marie Lyn Custodio is listed at 3327 Rosecrans St, San Diego, CA 92110. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Marie Lyn Custodio's phone number?

The number on file is (619) 225-9691. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Marie Lyn Custodio's NPI number?

Marie Lyn Custodio's National Provider Identifier is 1356981526. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Marie Lyn Custodio train?

Marie Lyn Custodio attended Other, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How long has Marie Lyn Custodio been practicing?

Marie Lyn Custodio has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

Has Marie Lyn Custodio confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Marie Lyn Custodio. If this is you, claiming it is free.

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