Individual
MRS. CHRISTINA RUTH PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2280 OPITZ BLVD, WOODBRIDGE, VA 22191
(703) 670-1313
Mailing address
1613 HARRISON PKWY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(954) 514-4793
(954) 514-3915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171404
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2013
Last updated
01/31/2014
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