Individual
CHRISTIE S BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335
Mailing address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C002620
AR
367500000X
Certified Registered Nurse Anesthetist
CTP000016
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075464
AANA MEMBER NUMBER
—
05
—
162212001
—
AR
01
—
5Y948
AR BC/BS
AR
Enumeration date
07/17/2006
Last updated
06/15/2015
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