Individual
MR. KRISTOFFER VILLAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1006762
TX
367500000X
Certified Registered Nurse Anesthetist
747851
TX
Other
Enumeration date
02/13/2019
Last updated
01/23/2026
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