Individual
KRISANA GESUWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3800 RESERVOIR RD NW, 4 PHC, WASHINGTON, DC 20007-2113
(202) 444-5045
(877) 376-2421
Mailing address
3800 RESERVOIR RD NW, PHC 4, WASHINGTON, DC 20007-2113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
RN1009292
DC
363L00000X
Nurse Practitioner
Primary
RN1009292
DC
Other
Enumeration date
08/06/2007
Last updated
09/12/2014
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