Provider Demographics
NPI:1649223231
Name:FRIX, CHRISTINA E (CRNA)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:E
Last Name:FRIX
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:ELIZABETH
Other - Last Name:MATERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:LAKES REGION ANESTHESIOLOGY, PA
Mailing Address - Street 2:PO BOX 190
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03247-0190
Mailing Address - Country:US
Mailing Address - Phone:603-934-2060
Mailing Address - Fax:603-527-7038
Practice Address - Street 1:LAKES REGION ANESTHESIOLOGY, PA
Practice Address - Street 2:80 HIGHLAND STREET
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3235
Practice Address - Country:US
Practice Address - Phone:603-524-3211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3465367500000X
NH077451-23367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered