Individual
MRS. KRISTIN BLACKWELL ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-1971
Mailing address
181 MILL POND RD, LAKE WYLIE, SC 29710-6033
(803) 831-6036
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083104
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NAN949
—
SC
Enumeration date
11/24/2009
Last updated
09/20/2024
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