Individual
JOANNE KRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1305 WALL ST STE 101, JEFFERSONVILLE, IN 47130-3853
(573) 686-5550
Mailing address
1402 COLD SPRINGS RD, ANCHORAGE, KY 40223-1406
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28098027
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075946
IN BCBS
IN
01
—
000000075946
KY BCBS
KY
05
—
74002106
—
KY
Enumeration date
08/16/2006
Last updated
04/04/2008
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