Individual
MR. CHRISTOPHER ALAN HENTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
Mailing address
810 BYRNE ST, NEW ALBANY, MS 38652-5401
(662) 668-0660
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2025008082
MO
367500000X
Certified Registered Nurse Anesthetist
R52164
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019377A
BCBS
—
05
—
09600302
—
MS
Enumeration date
10/13/2006
Last updated
04/09/2025
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