Individual
CHRISTOPHER D PRINCE
Active
Individual
CHRISTOPHER D PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R069818
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C002670
AR
367500000X
Certified Registered Nurse Anesthetist
CTP000049
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165278001
—
AR
01
—
5A480
BCBS
AR
01
—
771053801
AR BREASTCARE
AR
01
—
P00432091
RR MEDICARE GROUP CC5970
—
Enumeration date
06/11/2007
Last updated
01/25/2017
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