Individual
CRISTIN CAMILLE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042
(703) 776-3138
(703) 776-2623
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 882-0705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000177206
TN
367500000X
Certified Registered Nurse Anesthetist
0024172961
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
20936
TN
Other
Enumeration date
08/20/2015
Last updated
07/10/2018
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