Healthcare Provider Details
I. General information
NPI: 1538195276
Provider Name (Legal Business Name): KRISTIN RAINELLE CURCIO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/24/2006
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3515 W MARKET ST STE 300
GREENSBORO NC
27403-4442
US
IV. Provider business mailing address
PO BOX 935983
ATLANTA GA
31193-5983
US
V. Phone/Fax
- Phone: 336-660-5540
- Fax: 336-660-5559
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 5000472 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 005000472 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 311275 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: