Individual
CHRISTINE F LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
211 VIRGINIA RD, ANESTHESIA DEPT, EDENTON, NC 27932-9668
(252) 482-6744
Mailing address
PO BOX 629, EDENTON, NC 27932-0629
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R061057
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051993
—
NC
Enumeration date
02/01/2006
Last updated
08/09/2011
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