Mrs Annabelle Alonzo Custodio, FNP - Nurse Practitioner in Riverside, CA

Mrs Annabelle Alonzo Custodio, FNP is a Nurse Practitioner - Family based in Riverside, California. Mrs Annabelle Alonzo Custodio is licensed to practice in California (license number 18332) and her current practice location is 9041 Magnolia Ave Ste 206, Riverside, California. She can be reached at her office (for appointments etc.) via phone at (951) 354-0676.

NPI number for Mrs Annabelle Alonzo Custodio is 1679806145 and her current mailing address is 9041 Magnolia Ave Suite 206, Riverside, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679806145.

Contact Information

Mrs Annabelle Alonzo Custodio, FNP
9041 Magnolia Ave Ste 206,
Riverside, CA 92503-3956
(951) 354-0676
(951) 354-5786

Map and Direction




Provider's Profile

Full NameMrs Annabelle Alonzo Custodio
GenderFemale
SpecialityNurse Practitioner - Family
Location9041 Magnolia Ave Ste 206, Riverside, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679806145
  • Provider Enumeration Date: 09/15/2009
  • Last Update Date: 09/15/2009

Medical Identifiers

Medical identifiers for Mrs Annabelle Alonzo Custodio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679806145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 18332 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Annabelle Alonzo Custodio is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Annabelle Alonzo Custodio, FNP
9041 Magnolia Ave Suite 206,
Riverside, CA 92503-3956

Ph: (951) 354-0676
Mrs Annabelle Alonzo Custodio, FNP
9041 Magnolia Ave Ste 206,
Riverside, CA 92503-3956

Ph: (951) 354-0676

Reviews and Comments


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