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General NPI Number Information
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NPI Number | 1477352490
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Entity Type | Individual
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Provider Name | AUDREANNA LOUISE CRISTO AG-CNS
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Gender | Female
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 3100 N ACADEMY BLVD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-5332
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Country | US
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Telephone | 901-496-5131
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Fax |
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Provider Business Mailing Address
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Address Line | 513 COWBOY KNL
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City | CIBOLO
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State | TX
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Zip | 78108-0538
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Country | US
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Telephone | 901-496-5131
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | C-APN.0103241-C-CNS
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License Number State | CO
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