Individual
CRISTA WANDA MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 288-2100
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 386-2032
(334) 396-6929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-018155
AL
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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