Individual
KRISAN ESELLE FRAGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-1400
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001264161
VA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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