Individual provider · Type 1 NPI

Kristin K. Mancuso, PA

Emergency Clinical Nurse Specialist · Oakland, CA

NPI number 1306824669 Active

Practice location

1411 E 31st St
Oakland, CA 94602-1018

Fax (209) 524-4240

Mailing address

4301 Northstar Way
Modesto, CA 95356-9262

Specialties and licenses

TaxonomyCodeLicense
Emergency Clinical Nurse Specialist Primary 364SE0003XPA16054 (CA)

Emergency Clinical Nurse Specialist: Definition to come...

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About NPI 1306824669

Kristin K. Mancuso, PA's National Provider Identifier is 1306824669, issued on Jan 6, 2006. The primary taxonomy on file is Emergency Clinical Nurse Specialist (364SE0003X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.