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NPI Code Detail

MEDICARE: MS. AMANDA PAIGE CHRISTOPHER CRNA

MEDICARE: MS. AMANDA PAIGE CHRISTOPHER 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
1367500000XCertified Registered Nurse Anesthetist14190TN
2367500000XCertified Registered Nurse Anesthetist901583MS
3367500000XCertified Registered Nurse AnesthetistAPRN11002994FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24223153OTHERTNBLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720229388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA PAIGE CHRISTOPHER CRNA
Provider Business Mailing Address
First Line : 6060 PRIMACY PKWY STE 241
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-5743
Country : US
Telephone Number : 901-725-5846
Fax Number :
Provider Business Practice Location Address
First Line : 1265 UNION AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3415
Country : US
Telephone Number : 901-725-5846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2009
Last Update Date : 02/10/2026

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