MEDICARE: CHRISTINA MARIE DUFFY CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	AP124708	TX
2	367500000X	Certified Registered Nurse Anesthetist	656707	WI
3	367500000X	Certified Registered Nurse Anesthetist	RN094549 AP05501	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	079623	OTHER	LA	CCNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467613117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MARIE DUFFY CRNA

Provider Business Mailing Address
First Line	:	PO BOX 4439
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77210-4439
Country	:	US
Telephone Number	:	713-792-2991
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HIGHLAND AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53792-4009
Country	:	US
Telephone Number	:	608-263-8100
Fax Number	:	608-262-6247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	03/03/2025

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Directions to “ CHRISTINA MARIE DUFFY CRNA” Practice Location

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