MEDICARE: KRISTEN MARIE CUBITT CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN684898	PA
2	163W00000X	Registered Nurse	1842756	NY
3	367500000X	Certified Registered Nurse Anesthetist	136148	PA
4	367500000X	Certified Registered Nurse Anesthetist	136148	NY
5	367500000X	Certified Registered Nurse Anesthetist	RN684898	PA

General Provider Information

NPI Number	:	1225629389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN MARIE CUBITT CRNA

Provider Business Mailing Address
First Line	:	320 E NORTH AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-4756
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 W 25TH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16544-1807
Country	:	US
Telephone Number	:	814-452-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2021
Last Update Date	:	08/11/2025

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