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NPI Code Detail

MEDICARE: JUNE CRISOSTOMO

MEDICARE:   JUNE  CRISOSTOMO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner0024195940VA

General Provider Information

NPI Number : 1942168935
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNE CRISOSTOMO
Provider Business Mailing Address
First Line : 1001 ORMOND CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-8927
Country : US
Telephone Number : 805-827-1318
Fax Number :
Provider Business Practice Location Address
First Line : 2025 GLENN MITCHELL DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-0178
Country : US
Telephone Number : 757-507-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2026
Last Update Date : 01/10/2026

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Directions to “ JUNE CRISOSTOMO ” Practice Location

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