Provider Demographics
NPI:1659669885
Name:PARKER, KRISTA ERIN (CRNA)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:ERIN
Last Name:PARKER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 HIGH SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:CA
Mailing Address - Zip Code:93221-9793
Mailing Address - Country:US
Mailing Address - Phone:559-381-8150
Mailing Address - Fax:
Practice Address - Street 1:1337 S LOVERS LN
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-5249
Practice Address - Country:US
Practice Address - Phone:559-733-7888
Practice Address - Fax:559-625-5754
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4105367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered