Individual
CHRISTAN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 727-3396
(402) 727-3749
Mailing address
825 S 169TH ST FL 3, OMAHA, NE 68118-9300
(402) 354-4822
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101132
NE
367500000X
Certified Registered Nurse Anesthetist
124602
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184603201
—
IA
Enumeration date
06/22/2010
Last updated
02/23/2023
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