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Individual

CHRISTINA M IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
667 EASTLAND AVE SE, WARREN, OH 44484-4503
(330) 286-5330
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN305619
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000600763
ANTHEM BCBS
OH
01
11929868
CAQH
05
2922832
OH
01
7399061
MEDICARE PTAN
OH
Enumeration date
01/15/2009
Last updated
05/03/2018
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