| Krysta Danielle Cousino, | |
|
1225 E Garrison Blvd, Gastonia, NC 28054-5115 | |
| (704) 865-7416 | |
| Not Available |
| Full Name | Krysta Danielle Cousino |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1225 E Garrison Blvd, Gastonia, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033929815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 962 (North Carolina) | Primary |
| Entity Name | Caromont Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Krysta Danielle Cousino, Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2450 | Krysta Danielle Cousino, 1225 E Garrison Blvd, Gastonia, NC 28054-5115 Ph: (704) 865-7416 |
Carol D Hager, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 991 W Hudson Blvd, Gastonia, NC 28052 Phone: 704-853-5000 | |
Amy Lynn Carter, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 620 Summitt Crossig Place, Suite 108a, Gastonia, NC 28054 Phone: 704-865-2229 Fax: 704-865-2811 | |
Ms. Chasiti Jordan Falls, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-671-5343 | |
Nancy Kuney, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1225 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-865-7416 Fax: 704-865-7232 | |
Kaelyn Nicole Sexton, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-2500 | |
Ms. Caitlin Beth Murray, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl Ste 108a, Gastonia, NC 28054 Phone: 704-865-2229 Fax: 704-865-2811 |