Healthcare Provider Details

I. General information

NPI: 1730170762
Provider Name (Legal Business Name): CHRISTOPHER TREON CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7380 TURFWAY RD
FLORENCE KY
41042-1355
US

IV. Provider business mailing address

401 E 20TH ST
COVINGTON KY
41014-1583
US

V. Phone/Fax

Practice location:
  • Phone: 859-212-5200
  • Fax: 859-212-5130
Mailing address:
  • Phone: 859-655-7160
  • Fax: 859-655-6742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number054909
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number5418A
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number054909
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28167897A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number115268
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number265285
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: