Dr JOANNE CUSTODIO is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2019.
NARRAGANSETT BAY ANESTHESIA LLC
200 HIGH SERVICE AVE
NORTH PROVIDENCE
RI
029045113
Tel: 4014563000
| Npi | 1447716527 |
| Pac Id | 3779822671 |
| Professional Enrollment Id | I20190311000899 |
| Last Name | CUSTODIO |
| First Name | JOANNE |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2019 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | NARRAGANSETT BAY ANESTHESIA LLC |
| Group Practice Pac Id | 5991774929 |
| Number Of Group Practice Members | 78 |
| Line 1 Street Address | 200 HIGH SERVICE AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 029045113 |
| Phone Number | 4014563000 |
| Hospital Affiliation Ccn 1 | 410004 |
| Hospital Affiliation Lbn 1 | ROGER WILLIAMS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 410005 |
| Hospital Affiliation Lbn 2 | OUR LADY OF FATIMA HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.