| Crystal L Hunnicutt, CRNA | |
| 
					1990 Holton Ave E, Big Stone Gap, VA 24219-3350  | |
| (423) 523-3111 | |
| (423) 224-3258 | 
| Full Name | Crystal L Hunnicutt | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1990 Holton Ave E, Big Stone Gap, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598953267 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024167545 (Virginia) | Primary | 
| Entity Name | Virginia Highlands Anesthesia Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508830993 PECOS PAC ID: 0648266437 Enrollment ID: O20040426000787  | 
| Entity Name | Medstream Anesthesia Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Crystal L Hunnicutt, CRNA Po Box 37024, Baltimore, MD 21297-3024 Ph: (423) 224-3250  | Crystal L Hunnicutt, CRNA 1990 Holton Ave E, Big Stone Gap, VA 24219-3350 Ph: (423) 523-3111  | 
Mrs. Patty Biles, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1990 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111  | |
Mary Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1980 Holton Ave E, Big Stone Gap, VA 24219 Phone: 276-523-3111  | |
Martha Mae Hensley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1990 Holton Ave. East, Big Stone Gap, VA 24219 Phone: 276-523-3111  |