Healthcare Provider Details

I. General information

NPI: 1942283395
Provider Name (Legal Business Name): KRISTI LEIGH LARABEE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTI SIEN CRNA

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 02/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 LA BRANCH ST
HOUSTON TX
77004-6835
US

IV. Provider business mailing address

1075 KINGWOOD DR STE 150
KINGWOOD TX
77339-3003
US

V. Phone/Fax

Practice location:
  • Phone: 281-618-8500
  • Fax: 281-618-8636
Mailing address:
  • Phone: 281-358-8114
  • Fax: 281-358-8114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number251028
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: