Individual
KRISTI ANN WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 349-8310
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R237848
MD
367500000X
Certified Registered Nurse Anesthetist
RN590031
PA
Other
Enumeration date
12/17/2015
Last updated
07/28/2025
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