MEDICARE: CRISTINA RHODES CRNA, APRN

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	2025012996	MO
2	367500000X	Certified Registered Nurse Anesthetist	245295	LA
3	367500000X	Certified Registered Nurse Anesthetist	4299	CT

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	:	1710219514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA RHODES CRNA, APRN

Provider Business Mailing Address
First Line	:	99 E RIVER DR FL 5
Second Line	:
City	:	EAST HARTFORD
State	:	CT
Zip	:	06108-7301
Country	:	US
Telephone Number	:	860-282-4022
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 HOSPITAL DR
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1659
Country	:	US
Telephone Number	:	636-916-9000
Fax Number	:

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

Provider Enumeration Date	:	02/03/2010
Last Update Date	:	03/24/2026

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