Individual
KRISTA E SCAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
620 N MAIN, HARRISON, AR 72601-2911
(870) 414-4000
(870) 414-4961
Mailing address
620 N MAIN, HARRISON, AR 72601-2911
(870) 414-4000
(870) 414-4961
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
155401
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
C002966
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179294001
—
AR
01
—
771164501
BREASTCARE
AR
Enumeration date
03/09/2009
Last updated
10/08/2015
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