Healthcare Provider Details

I. General information

NPI: 1841401387
Provider Name (Legal Business Name): KRISTIN LAURA ESPOSITO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 03/31/2020
Certification Date: 03/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1071 CARE WAY STE 101
FREDERICKSBURG VA
22401
US

IV. Provider business mailing address

1071 CARE WAY STE 101
FREDERICKSBURG VA
22401-8431
US

V. Phone/Fax

Practice location:
  • Phone: 540-374-3100
  • Fax: 540-374-3102
Mailing address:
  • Phone: 540-374-3100
  • Fax: 540-374-3102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0102202071
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: