Individual
MRS. CHRISTINE RAE SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
3016 FOGGY HOLLOW LN, LAKE WYLIE, SC 29710-4719
(704) 724-0127
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
203369
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
4821
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8054349
—
NC
05
—
NAN146
—
SC
Enumeration date
11/17/2011
Last updated
10/21/2024
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