Individual
CRISTINA VISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001210970
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024171538
VA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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