Ankiambom, Christiana J

Ankiambom, Christiana J is an individual health care provider with primary practice located at 41 Brewster Rd , Bristol CT 06010-5141. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Ankiambom, Christiana J can be contacted via phone (860) 585-3474.

Contact Information

Primary practice address
41 Brewster Rd Bristol CT 06010-5141
Phone: (860) 585-3474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 122652 Connecticut
Nursing Service Providers / Registered Nurse 163W00000X 362351 New York
Nursing Service Providers / Registered Nurse 163W00000X 314823 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 005978 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 07924 Ohio

Profile Details

NPI number 1891785762
LBN Legal business name Ankiambom, Christiana J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Feb 17th, 2015 - about 10 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 1891785762 NPPES
Other 53698 AANA
MEDICAID 2539604 AANA

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