Individual
CHRISTINA M WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-3350
(937) 641-6145
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-4000
(937) 641-4500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.19134-NA
OH
367500000X
Certified Registered Nurse Anesthetist
RN234769
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178934
—
OH
Enumeration date
01/06/2014
Last updated
12/02/2019
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