Provider Demographics
NPI:1295043461
Name:KRESS, CHRISTINE M B (CRNA)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M B
Last Name:KRESS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2430 EMERALD PL
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5784
Mailing Address - Country:US
Mailing Address - Phone:252-752-2140
Mailing Address - Fax:252-752-3949
Practice Address - Street 1:2430 EMERALD PL
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5784
Practice Address - Country:US
Practice Address - Phone:252-752-2140
Practice Address - Fax:252-752-3949
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC206874163W00000X
NC85556367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8053853Medicaid
NC1295043461OtherTRICARE
NCP00895941OtherRAILROAD MEDICARE
NC1295043461OtherTRICARE