Individual
MS. KRISTINE ANN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 LONGWOOD AVE # BADER3, BOSTON, MA 02115-5724
(617) 943-7838
Mailing address
40 CHESTNUT AVE APT 301, BOSTON, MA 02130-1989
(617) 943-7838
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
262784
MA
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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