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Individual
THEA CRIST
Active
Individual
THEA CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209765
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9182057
FL
367500000X
Certified Registered Nurse Anesthetist
RNA83311
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015213600
—
FL
01
—
P00856538
RAILROAD MEDICARE
DC
Enumeration date
06/30/2006
Last updated
03/16/2017
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