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Kristin K Mancuso, PA
Emergency Clinical Nurse Specialist in Oakland, California
NPI 1306824669

Kristin K Mancuso is a Emergency Clinical Nurse Specialist based in Modesto, CA and is specialized in Emergency. Kristin K Mancuso practices in Oakland, CA and has the professional credentials of PA. The NPI Number for Kristin K Mancuso is 1306824669 and holds a License No. PA16054 (California).

The current practice location address for Kristin K Mancuso is 1411 E 31St St, Oakland, CA and can be reached out via phone at 209-342-2300 and via fax at 209-524-4240.

Location: 1411 E 31St St, Oakland, CA, 95356-9262
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Provider Profile Details
NPI Number
1306824669
Provider Name
Kristin K Mancuso
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1411 E 31St St, Oakland, CA, 95356-9262
Phone Number
209-342-2300
Fax Number
209-524-4240
Provider Enumeration Date
01/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OPA160540 05 CA
institution
Provider Business Practice Location Address Details
Address
1411 E 31St St
City
State
Zip
94602-1018
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider Business Mailing Address Details
Address
1411 E 31St St
City
State
Zip
94602-1018
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Emergency
Taxonomy
License No.
PA16054 (California)
Definition
Definition to come...
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