Provider Demographics
NPI:1831772110
Name:HEM, KRISTIAN ALANE (DNP, CRNA)
Entity type:Individual
Prefix:MRS
First Name:KRISTIAN
Middle Name:ALANE
Last Name:HEM
Suffix:
Gender:F
Credentials:DNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4219 WARWICK HILLS DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-7042
Mailing Address - Country:US
Mailing Address - Phone:813-774-0508
Mailing Address - Fax:
Practice Address - Street 1:4219 WARWICK HILLS DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-7042
Practice Address - Country:US
Practice Address - Phone:813-774-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9423723367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered