Individual
KRISTEN NICOLE CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
741852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
331324902
—
TX
01
—
8771UG
BCBS
TX
01
—
8991UF
BCBS
TX
Enumeration date
12/19/2013
Last updated
03/31/2023
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