Individual
KRISTIN BARICEVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2 READS WAY, SUITE 201, NEW CASTLE, DE 19720-1607
(302) 709-4709
(302) 709-4704
Mailing address
781 N 25TH ST, PHILADELPHIA, PA 19130-2438
(267) 978-8734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L10041157
DE
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00703
DE
Other
Enumeration date
05/09/2014
Last updated
11/14/2017
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