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Contact Information

KRISTEN A MANCUSO, RN
3020 HAMAKER CT
SUITE 400
FAIRFAX, VA22031-2238
 Phone: 703-876-0080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for KRISTEN A MANCUSO · (Female)

NPI Number 1023071131
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0001163882
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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