Individual
MRS. KRISTIN RENEE MABERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-4076
Mailing address
121 VALLEYWOOD CT, BETHALTO, IL 62010-1181
(618) 377-7720
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209001226
IL
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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