| Marvis Custer, | |
|
1701 E College Ave, Bloomington, IL 61704-2101 | |
| (309) 662-3000 | |
| (309) 664-3026 |
| Full Name | Marvis Custer |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist |
| Location | 1701 E College Ave, Bloomington, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215237987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | 209003675 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marvis Custer, 1701 E College Ave, Bloomington, IL 61704-2101 Ph: () - | Marvis Custer, 1701 E College Ave, Bloomington, IL 61704-2101 Ph: (309) 662-3000 |
Shannon L Laesch, APRN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2103 E Washington St Ste 2c, Bloomington, IL 61701 Phone: 309-808-1450 Fax: 949-561-4829 | |
Christina Hay, APRN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2103 E Washington St Ste D, Bloomington, IL 61701 Phone: 815-566-9915 Fax: 888-661-3051 | |
Audra Rushforth, Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 | |
Ms. Amanda Lyn Weed, APN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 Fax: 309-664-0969 | |
Kristin N Wilkins, APN-CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1505 Eastland Dr, Suite 320, Bloomington, IL 61701 Phone: 309-661-2368 Fax: 309-662-9709 |