Individual
CHRISTIANA J ANKIAMBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5141
(860) 585-3474
Mailing address
PO BOX 417297, BOSTON, MA 02241-7297
(866) 623-3869
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
122652
CT
163W00000X
Registered Nurse
314823
OH
163W00000X
Registered Nurse
362351
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
005978
CT
367500000X
Certified Registered Nurse Anesthetist
07924
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2539604
—
OH
01
—
53698
AANA
—
Enumeration date
10/24/2005
Last updated
02/17/2015
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