Individual
KRISTEN KELLY GUARISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0981530447
LA
367500000X
Certified Registered Nurse Anesthetist
777128
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP118547
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08105790
—
MS
05
—
1475301
—
LA
05
—
2103525 02
—
TX
Enumeration date
09/28/2006
Last updated
03/08/2023
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