Christina L Tanner, CRNA | |
222 Medical Cir, Morehead, KY 40351-1179 | |
(606) 783-6400 | |
Not Available |
Full Name | Christina L Tanner |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 222 Medical Cir, Morehead, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760766414 | NPI | - | NPPES |
1099532 | Other | KY | KY MEDICAL LICENSE |
0076316 | Medicaid | OH | |
7100411890 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | COA.12654-NA (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1099532 (Kentucky) | Primary |
Entity Name | Promedica Central Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
Mailing Address | Practice Location Address |
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Christina L Tanner, CRNA 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-6942 | Christina L Tanner, CRNA 222 Medical Cir, Morehead, KY 40351-1179 Ph: (606) 783-6400 |
Lauren Harwood, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6513 Fax: 606-783-6489 | |
Denita Joy Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6500 Fax: 606-783-6904 | |
Emily Sue Mason, NP-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6521 Fax: 606-783-6904 | |
Cynthia Jo Blankenship, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6504 | |
Cindy D Hanner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6500 | |
Philip W Vankersen, MD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6500 Fax: 606-783-6904 | |
Kristie Lynn Mullins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 Medical Circle, Morehead, KY 40351 Phone: 606-783-6500 Fax: 606-783-6570 |