Individual
KRISTINA MEDINA SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 N. WOLFE STREET, BALTIMORE, MD 21287
(443) 287-2937
Mailing address
660 N. WOLFE STREET, BALTIMORE, MD 21287
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R215599
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2015
Last updated
09/30/2016
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