Provider Demographics
NPI:1487203998
Name:HANSON, CHRISTINE JOYCE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:JOYCE
Last Name:HANSON
Suffix:
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 1:11512 GORDON RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-1775
Mailing Address - Country:US
Mailing Address - Phone:703-919-8674
Mailing Address - Fax:
Practice Address - Street 1:11512 GORDON RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-1775
Practice Address - Country:US
Practice Address - Phone:703-919-8674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001202605207L00000X
VA0024178817367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology