IndividualActive
Kristin Mancuso, PA
NPI 1306824669 · Emergency Clinical Nurse Specialist · Oakland, CA
Provider details
- NPI number
- 1306824669
- Entity type
- Individual
- Primary specialty
- Emergency Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA16054 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1411 E 31st St
Oakland, CA 94602-1018
Phone: (209) 342-2300
Fax: (209) 524-4240
Approximate (ZIP-level) locationGet directions
Mailing address
4301 Northstar Way
Modesto, CA 95356-9262
Registry dates
- Enumerated
- 2006-01-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.