Doctor Name: | MRS. KRISTI ANN MASTERSON |
NPI Number: | 1720051139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC |
License Number: | 13-71060-101 |
Business Practice Address: | 1060 Gaffney Road Bassett Army Community Hospital Fort Wainwright, AK - 997034845 |
Business Phone Number: | 9073535158 |
Business Fax Number: | |
Mailing Address: | 1060 Gaffney Road, Commander, Usa-meddac,ak, Attn; Mcuc-mmd-qm FORT WAINWRIGHT |
State: | AK |
Postal Code: | 997034845 |
Phone Number: | 9073535418 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0102X |
License Number: | 13-71060-101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Maternal Newborn |
Taxonomy Definition: |