Provider Demographics
NPI:1720012784
Name:KARST, ANN MARIE (CRNA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:KARST
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 1:72 PAYNE RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-6683
Mailing Address - Country:US
Mailing Address - Phone:334-244-9814
Mailing Address - Fax:
Practice Address - Street 1:4590 WOODMERE BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-2918
Practice Address - Country:US
Practice Address - Phone:334-271-2002
Practice Address - Fax:334-271-4523
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-052413367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered