Individual
MRS. KRISTEN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9848 N TRYON ST, CHARLOTTE, NC 28262-5512
(704) 548-5200
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-0769
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
226558
NC
Other
Enumeration date
03/03/2014
Last updated
10/28/2020
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