Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristin K Mancuso, PA

Individual provider Emergency Clinical Nurse Specialist · NPI 1306824669

Kristin K Mancuso, PA is an Emergency Clinical Nurse Specialist in Oakland, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1411 E 31st St
Oakland, CA 94602-1018
Phone: (209) 342-2300
Fax: (209) 524-4240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Clinical Nurse Specialist (primary) Taxonomy 364SE0003X · Licence PA16054 (CA)

Record details

NPI number1306824669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2006
Last updated in NPPESJuly 8, 2007

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