| Kristina Marie Sparks, CRNA | |
|
110 S 9th Ave, Yakima, WA 98902 | |
| (509) 573-3448 | |
| (509) 574-4481 |
| Full Name | Kristina Marie Sparks |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 110 S 9th Ave, Yakima, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790931665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 368794-4406 (Utah) | Primary |
| Entity Name | Utah Gastroenterology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871689562 PECOS PAC ID: 9830174150 Enrollment ID: O20040621001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Marie Sparks, CRNA 6764 S 950 E, Midvale, UT 84047-5000 Ph: (801) 560-4655 | Kristina Marie Sparks, CRNA 110 S 9th Ave, Yakima, WA 98902 Ph: (509) 573-3448 |
Paul E Novak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave, Ste 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Stephanie L Lounsbury-griffin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 406 S 30th Ave, Suite 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Kevin A Leach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406s 30th Ave 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Kaitlyn Elizabeth Knoebel, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 | |
Blake T Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave, Suite 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
James E Gelatt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 406 S 30th Ave, Ste 202, Yakima, WA 98902 Phone: 509-972-1051 Fax: 509-972-4166 | |
Hollie I Crawford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 110 S 9th Ave, Yakima, WA 98902 Phone: 509-574-4455 Fax: 509-574-4481 |