STEPHANIE CARMEN CUSTODIO
NPI 1881385797
Licensed Practical Nurse in Bridgeton, NJ

Active since May 19, 2023
25 E BROAD ST, BRIDGETON, NJ 08302(856) 459-2402 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephanie Carmen Custodio NPPES

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

STEPHANIE CARMEN CUSTODIO (NPI 1881385797) is an individual licensed practical nurse in Bridgeton, New Jersey, licensed in New Jersey (26NP04816700) and active in the NPI registry since May 2023. She maintains a secondary practice location in Bridgeton.

NPPES Registry Identity

NPI1881385797
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTEPHANIE CARMEN CUSTODIO
Location Address25 E BROAD STBridgeton, NJ 08302-2503
Mailing Address1026 Falcon WayVineland, NJ 08360-4469 · (609) 805-6509
Sole ProprietorNo
Enumeration DateMay 19, 2023
NPPES CertifiedMay 19, 2023
NPI 1881385797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NJ · 26NP04816700
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

25 E BROAD ST, Bridgeton, NJ 08302

Other Names 1

Former Name (1)Stephanie Carmen Velez

Secondary Practice Location 1

Location 19 Landis AveBridgeton, NJ 08302-4315 · Phone (856) 451-4169

Other Providers at the Same Location NPPES 7

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

Pharmacist
25 E BROAD ST
BRIDGETON, NJ 08302
Pharmacist
25 E BROAD ST
BRIDGETON, NJ 08302
Pharmacist
25 E BROAD ST
BRIDGETON, NJ 08302
Pharmacist
25 E BROAD ST
BRIDGETON, NJ 08302
Licensed Practical Nurse
25 E BROAD ST
BRIDGETON, NJ 08302
Registered Nurse
25 E BROAD ST
BRIDGETON, NJ 08302
Pharmacy
25 E BROAD ST
BRIDGETON, NJ 08302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881385797, enumerated as an "individual" on May 19, 2023.

The provider is located at 25 E BROAD ST BRIDGETON, NJ 08302 and the phone number is (856) 459-2402.

Licensed Practical Nurse with taxonomy code 164W00000X.