Healthcare Provider Details

I. General information

NPI: 1508866856
Provider Name (Legal Business Name): CHRISTINA L GINDER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S 7TH ST
VINCENNES IN
47591-1038
US

IV. Provider business mailing address

1405 N MADISON ST
ROBINSON IL
62454-1724
US

V. Phone/Fax

Practice location:
  • Phone: 812-882-5520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number28074950A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209000975
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: