Individual
KATYSSON EDUARDO FONSECA DE CARVALHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2603 NINE MILE ROAD, SUITE 220, RICHMOND, VA 23223
(804) 266-2222
Mailing address
4517 PARK AVE, RICHMOND, VA 23221-1128
(804) 651-5196
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0001249738
VA
163WH0200X
Home Health Registered Nurse
0001249738
VA
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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