Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN ANN MANCUSO, RN
ActiveNeonatal Intensive Care Nurse · FAIRFAX, VA
Registration Details
- NPI Number
- 1023071131
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2006 (20.031076751164 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0001163882 (VA)
Practice Information
- Address
-
3020 HAMAKER CTSUITE 400FAIRFAX, VA, 220312238Browse VA providers · Browse ZIP 22031
- Phone
- 7038760080
- Primary Specialty
-
Neonatal Intensive Care Nurse
163WN0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.