Healthcare Provider Details

I. General information

NPI: 1013329465
Provider Name (Legal Business Name): CHRISTINA CLARE DELAUGHTER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINA CLAIRE LENARDUZZI CRNA

II. Dates (important events)

Enumeration Date: 05/20/2014
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 HUMPHREYS CENTER DR STE 101
MEMPHIS TN
38120-2352
US

IV. Provider business mailing address

2947 PINE TREE LOOP
HERNANDO MS
38632-8378
US

V. Phone/Fax

Practice location:
  • Phone: 901-747-3233
  • Fax:
Mailing address:
  • Phone: 662-312-8599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number901759
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number18847
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: