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NPI Code Detail

MEDICARE: CHRISTINE A FROHLICH CRNA

MEDICARE:   CHRISTINE A FROHLICH  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 Anesthetist10133TN
2367500000XCertified Registered Nurse AnesthetistARNP1265072FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1140186OTHERTNBETTER HEALTH
2G4374OTHERFLFL BC/BS #
3ARNP1265072OTHERFLFL MEDICAL LICENSE
44044651OTHERTNBLUE CROSS
520794OTHERTNTLC

General Provider Information

NPI Number : 1730107608
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE A FROHLICH CRNA
Provider Business Mailing Address
First Line : 801 E 6TH ST STE 205
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-3652
Country : US
Telephone Number : 850-785-3185
Fax Number : 850-785-6233
Provider Business Practice Location Address
First Line : 801 E 6TH ST STE 205
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-3652
Country : US
Telephone Number : 850-785-3185
Fax Number : 850-785-6233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 11/01/2007

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Directions to “ CHRISTINE A FROHLICH CRNA” Practice Location

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