Katysson Eduardo Fonseca De Carvalho, RN
Registered Nurse, General Practice in Richmond, VA. Individual provider (NPI-1).
NPI number1457279549
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1457279549
- Entity type
- Individual (NPI-1)
- Name
- Katysson Eduardo Fonseca De Carvalho
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2026
- Certification date
- Jun 15, 2026
- Last updated
- Jul 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 0001249738 | VA | Yes |
| 163WH0200X | Registered Nurse, Home Health | 0001249738 | VA |
Practice location
2603 Nine Mile RoadSuite 220
Richmond, VA 23223
Phone 804-266-2222
Mailing address
4517 Park AveRichmond, VA 23221-1128
Phone 804-651-5196
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