Individual
KRYSTAL KAY EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 396-1630
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT., ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9245587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107670A
—
GA
05
—
003107670B
—
GA
05
—
0031396-00
—
FL
Enumeration date
01/18/2011
Last updated
05/02/2016
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