Koreen Cuffee
Individual provider Active NPI Registered Nurse · Bristow, VA
NPI 1083299804 · NPPES record last updated Mar 12, 2021
Key facts
- NPI
- 1083299804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0001106508 (VA)
- Practice address
- 12162 Drum Salute PL
Bristow, VA 20136-1935 - Phone
- (703) 915-1483
- NPI assigned
- Mar 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001106508 | VA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001106508 | VA | Yes |
Addresses
Primary practice location
12162 Drum Salute PL
Bristow, VA 20136-1935
Mailing address
12162 Drum Salute PL
Bristow, VA 20136-1935
Other providers in Bristow, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.