Provider Demographics
NPI:1003848029
Name:CARAHER, KRISTEN WOLFINGER I (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:WOLFINGER
Last Name:CARAHER
Suffix:I
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 GLEN HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4046
Mailing Address - Country:US
Mailing Address - Phone:919-423-2566
Mailing Address - Fax:919-969-9895
Practice Address - Street 1:209 GLEN HAVEN DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-4046
Practice Address - Country:US
Practice Address - Phone:919-423-2566
Practice Address - Fax:919-969-9895
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC161946367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered