Kristiansen, Joanne

Kristiansen, Joanne is an sole proprietor health care provider with primary practice located at 1305 Wall St Ste 101 , Jeffersonville IN 47130-3853. 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. Kristiansen, Joanne can be contacted via phone (573) 686-5550.

Contact Information

Primary practice address
1305 Wall St Ste 101 Jeffersonville IN 47130-3853
Phone: (573) 686-5550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28098027 Indiana

Profile Details

NPI number 1922111962
LBN Legal business name Kristiansen, Joanne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Apr 4th, 2008 - about 16 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 1922111962 NPPES
Kentucky MEDICAID 74002106
Kentucky Other 000000075946
Kentucky Other 000000075946

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