Individual
CRISTY TEETOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 W 13TH ST, LEXINGTON, NE 68850-1196
(308) 324-5651
Mailing address
PO BOX 633, LEXINGTON, NE 68850-0633
(402) 395-1666
(402) 395-1666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100646
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38003
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/24/2006
Last updated
10/15/2007
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