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MARVIS CUSTER
NPI 1215237987
Clinical Nurse Specialist in Bloomington, IL

Active since October 28, 2010
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704(309) 662-3000(309) 664-3026 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marvis Custer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVIS CUSTER (NPI 1215237987) is an individual clinical nurse specialist in Bloomington, Illinois, licensed in Illinois (209003675) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1215237987
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameMARVIS CUSTER
Location Address1701 E COLLEGE AVEBloomington, IL 61704-2101
Mailing Address1701 E College AveBloomington, IL 61704-2101
Phone(309) 662-3000
Fax(309) 664-3026
Sole ProprietorNo
Enumeration DateOctober 28, 2010
✔ NPI 1215237987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in IL · 209003675
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
1701 E COLLEGE AVE, Bloomington, IL 61704
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY CLAIRE BILES PT, MDT
Physical Therapist
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
McLean County (309) 664-3420
CAREY HARRIS NP
Nurse Practitioner
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
McLean County (309) 664-3120
ST. JOSEPH MEDICAL CENTER
Hospice Care, Community Based
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
McLean County (309) 451-5925
MRS. PATRICIA O'MEARA MPT, NDT
Physical Therapist
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
McLean County (309) 664-3420
PAUL PEDERSEN
Internal Medicine
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
McLean County (309) 664-3120
MS. GRETCHEN DEAN PT
Physical Therapist
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
McLean County (217) 326-2911
CHRISTOPHER RINK D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
McLean County (309) 661-6250
MRS. CECILIA SIBERON-SONE ARNP
Nurse Practitioner
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
McLean County (309) 665-4729

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvis Custer's NPI number?

The NPI number for Marvis Custer is 1215237987. It was assigned to this individual provider in the NPPES registry on October 28, 2010.

Where is Marvis Custer located?

Marvis Custer practices at 1701 E College Ave, Bloomington, IL 61704. The listed phone number is (309) 662-3000.

What is Marvis Custer's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Marvis Custer was last updated on October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.