Most Relevant Information
Provider Data
| NPI Number: | 1003835166 |
| Provider Name: | CRISTA WANDA MARQUARDT C.R.N.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 1-018155 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2105 E SOUTH BLVD
MONTGOMERY
AL
361162409
Practice Location Phone/Fax
| Phone: | 3342882100 |
| Fax: |
Provider Mailing Location
PO BOX 235022
MONTGOMERY
AL
361235022
Provider Mailing Phone/Fax
| Phone: | 3343862032 |
| Fax: | 3343966929 |