Individual
KRISTINA DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
FRESNO & R STREET, FRESNO, CA 93721
(559) 459-6000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2619
CA
367500000X
Certified Registered Nurse Anesthetist
RN493620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0026190
BLUE SHIELD OF CA
CA
05
—
RN4936200
—
CA
Enumeration date
05/19/2006
Last updated
07/15/2008
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