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

Theresa Marie Custodio, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1093609562

Theresa Marie Custodio, FNP is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2024, 2 years ago. Practices with First Choice Community Healthcare, Inc, a 50-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone: (505) 873-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 84185 (NM)

Record details

NPI number1093609562
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 7, 2025
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice First Choice Community Healthcare, Inc. — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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