NPI 1093257768
Kristopher Bosque
Practice location
- Address
- 11341 Sunset Hills Rd, Reston, VA 20190-5205
- Phone
- (703) 471-0919
- Mailing address
- 21266 Victorias Cross Ter, Ashburn, VA 20147-4938
Registered specialties (2)
Certified Registered Nurse Anesthetist
Primary
Registered Nurse
Registry record
- NPI
- 1093257768
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Nov 2016
- Record last updated
- 31 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.