Individual
MRS. KRISTINE NICOLE IANNAMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3138
(703) 776-2623
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001201531
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169165
VA
Other
Enumeration date
08/24/2010
Last updated
01/27/2011
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