Individual
CHRISTINE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
611 W. PARK ST., ANESTHESIOLOGY, URBANA, IL 61801
(217) 383-3141
(217) 383-3265
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166490
VA
367500000X
Certified Registered Nurse Anesthetist
209005598
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533210001
DMERC
—
Enumeration date
12/04/2006
Last updated
05/19/2014
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