Individual
MRS. KRYSTLE STEVENS THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
4940 EASTERN AVE RM 588, BALTIMORE, MD 21224-2735
(410) 550-0942
(410) 550-0443
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
195172
NC
163W00000X
Registered Nurse
R193407
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R193407
MD
Other
Enumeration date
11/11/2010
Last updated
10/20/2019
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