Individual
MS. CHRISTINA LEE YANICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Mailing address
3250 WARD ST, PITTSBURGH, PA 15213-4451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
299991
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
5810
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/08/2017
Last updated
07/08/2026
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