| Doctor Name: | MS. KRISTI CROCHET RABALAIS |
| NPI Number: | 1689095432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN104995AP07666 |
| Business Practice Address: | 4463 La Highway 1 S Suite A Port Allen, LA - 707675989 |
| Business Phone Number: | 2254485307 |
| Business Fax Number: | 2256876669 |
| Mailing Address: | 4463 La Highway 1 S, Suite A PORT ALLEN |
| State: | LA |
| Postal Code: | 707675989 |
| Phone Number: | 2254485307 |
| Fax Number: | 2256876669 |
| NPI Enumeration Date: | 12/20/2013 |
| NPI Last Update Date: | 06/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN104995AP07666 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |