Individual
CAROL CHRISTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
707 S UNIVERSITY, BEAVER DAM, WI 53916
(920) 887-7181
(920) 887-3422
Mailing address
707 S UNIVERSITY, BEAVER DAM, WI 53916
(920) 887-7181
(920) 887-3422
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041393
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43335100
—
WI
Enumeration date
11/01/2006
Last updated
07/08/2007
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