MEDICARE: KRISTI A MYERS 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	367500000X	Certified Registered Nurse Anesthetist	ARNP 9275876	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669468914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI A MYERS CRNA

Provider Business Mailing Address
First Line	:	4791 S ATLANTIC AVE
Second Line	:	UNIT 8
City	:	PONCE INLET
State	:	FL
Zip	:	32127-8100
Country	:	US
Telephone Number	:	901-219-6655
Fax Number	:

Provider Business Practice Location Address
First Line	:	4791 S ATLANTIC AVE
Second Line	:	UNIT 8
City	:	PONCE INLET
State	:	FL
Zip	:	32127-8100
Country	:	US
Telephone Number	:	901-219-6655
Fax Number	:

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

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	05/31/2024

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