Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Ann Custodio, NP-C

Individual provider Nurse Practitioner · NPI 1568071660

Elizabeth Ann Custodio, NP-C is a Nurse Practitioner in Orange, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

170 S Main St
Orange, CA 92868-2801
Phone: (714) 288-7651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95010582 (CA)

Record details

NPI number1568071660
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 24, 2020
Last updated in NPPESNovember 27, 2023
Certification dateJuly 24, 2020

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