Healthcare Provider Details

I. General information

NPI: 1194784348
Provider Name (Legal Business Name): CHRISTINA KRONER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 50TH ST STE 100
WEST DES MOINES IA
50266-5924
US

IV. Provider business mailing address

1501 50TH ST STE 100
WEST DES MOINES IA
50266-5940
US

V. Phone/Fax

Practice location:
  • Phone: 515-225-7132
  • Fax: 515-218-1500
Mailing address:
  • Phone: 515-225-7132
  • Fax: 515-218-1500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberH179452
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberD088674
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: