Provider Demographics
NPI:1649297086
Name:REDLINGER, CHRISTINE (CRNA)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:REDLINGER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:ROWLETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:7700 W SUNRISE BLVD
Mailing Address - Street 2:PL 31
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322
Mailing Address - Country:US
Mailing Address - Phone:800-437-2672
Mailing Address - Fax:954-851-1746
Practice Address - Street 1:201 W GUAVA ST
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159
Practice Address - Country:US
Practice Address - Phone:800-437-2672
Practice Address - Fax:954-851-1746
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC132595367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002685500Medicaid
NC8050179Medicaid
FLDS033ZMedicare PIN
NCP24855Medicare UPIN
NC2612904Medicare ID - Type Unspecified