Crist, Thea

Crist, Thea is an individual health care provider with primary practice located at 7700 W Sunrise Blvd C/O Tiva Healthcare, Plantation FL 33322-4113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Crist, Thea can be contacted via phone (954) 739-7009.

Contact Information

Primary practice address
7700 W Sunrise Blvd C/O Tiva Healthcare Plantation FL 33322-4113
Phone: (954) 739-7009
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP 9182057 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA83311 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209765 Massachusetts

Profile Details

NPI number 1861421216
LBN Legal business name Crist, Thea
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 16th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861421216 NPPES
Florida MEDICAID 015213600
Florida Other P00856538

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