Edera, Christine Rose

Edera, Christine Rose is an individual health care provider with primary practice located at 7117 Fieldstone Dr , Frisco TX 75034-5835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Edera, Christine Rose can be contacted via phone (832) 264-4219.

Contact Information

Primary practice address
7117 Fieldstone Dr Frisco TX 75034-5835
Phone: (832) 264-4219
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 33299 Texas

Profile Details

NPI number 1386793503
LBN Legal business name Edera, Christine Rose
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated May 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386793503 NPPES
Texas Other 109834504 IN HARRIS - MEDICAID
Texas Other 002295602 IN HARRIS - MEDICAID
Texas Other 81302U IN HARRIS - MEDICAID

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