Individual
DEBRA L KRISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 551-1795
Mailing address
110 29TH AVE N STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26N008165500
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
49297
TN
367500000X
Certified Registered Nurse Anesthetist
ARNP9196067
FL
367500000X
Certified Registered Nurse Anesthetist
TRN133089
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532431
ANTHEM BCBS
KY
05
—
7100018230
—
KY
Enumeration date
08/31/2005
Last updated
06/04/2014
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