Individual
CHRISANN A HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, RN
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0942
(410) 550-0443
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9323382
FL
367500000X
Certified Registered Nurse Anesthetist
132156
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
AC003534
MD
Other
Enumeration date
10/11/2020
Last updated
02/26/2021
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