Individual
KRISTI JOHNSON-ECKRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5255
Mailing address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 397-8466
(605) 622-5258
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R024206
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4995008
BLUE CROSS PROVIDER#
SD
05
—
5754590
—
SD
01
—
R024206
DAKOTACARE PROVIDER#
SD
Enumeration date
10/03/2006
Last updated
05/02/2012
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