Healthcare Provider Details

I. General information

NPI: 1730135799
Provider Name (Legal Business Name): CHRISTI RENEE SORRELLS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 LIMESTONE RD SUITE 5
WILMINGTON DE
19808-5553
US

IV. Provider business mailing address

4016 BATTLEGROUND AVE STE H #297
GREENSBORO NC
27410-9800
US

V. Phone/Fax

Practice location:
  • Phone: 302-995-6891
  • Fax:
Mailing address:
  • Phone: 336-312-9195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberL1-0035397
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: