Individual
KRISTEN K PEMBROKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-5893
(901) 448-5540
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-7302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
901380
MS
367500000X
Certified Registered Nurse Anesthetist
95002287
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
APN13511
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505838
—
TN
Enumeration date
04/24/2008
Last updated
02/10/2026
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