Individual
KRISTIN ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3138
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(919) 882-7908
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001261509
VA
163W00000X
Registered Nurse
RN1034571
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024174482
VA
Other
Enumeration date
08/17/2016
Last updated
03/02/2017
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