Individual
MRS. CHRISTINE ROSE EDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7117 FIELDSTONE DR, FRISCO, TX 75034-5835
(832) 264-4219
Mailing address
7117 FIELDSTONE DR, FRISCO, TX 75034-5835
(832) 264-4219
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
33299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002295602
OUT HARRIS - MEDICAID
TX
01
—
109834504
IN HARRIS - MEDICAID
TX
01
—
81302U
TX-BLUE SHIELD
—
Enumeration date
01/09/2007
Last updated
05/14/2015
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