Individual
MRS. KRISTINE NICOLE IANNAMICO
Active
Individual
MRS. KRISTINE NICOLE IANNAMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
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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