Individual
MALLORY KAY CHRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3626
(715) 685-5500
Mailing address
1615 MAPLE LN, ASHLAND, WI 54806-3626
(715) 685-5500
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1104221
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
151986
WI
Other
Enumeration date
07/19/2024
Last updated
09/12/2024
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