KRISTEN K PEMBROKE

MEMPHIS, TN
NPI1770758450
Former NameKRISTEN KAIL GIBSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  APN13511)
Enumeration Date2008-04-24
Last Update Date2015-11-12
Business Address
-- KRISTEN K PEMBROKE CRNA
877 JEFFERSON AVE
MEMPHIS, TN 38103-2807
Phone number: 901-448-5893
Mailing Address
-- KRISTEN K PEMBROKE CRNA
877 JEFFERSON AVE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103-2807
Phone number: 901-545-7302