Doctor Name: | CHRISTINA THONGPHANH |
NPI Number: | 1003287699 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNA |
License Number: | |
Business Practice Address: | 520 S Santa Fe Ave Ste 260 Salina, KS - 674014190 |
Business Phone Number: | 7858272238 |
Business Fax Number: | 7858271684 |
Mailing Address: | 520 S Santa Fe Ave Ste 260, Po Box 1607 SALINA |
State: | KS |
Postal Code: | 674014190 |
Phone Number: | 7858272238 |
Fax Number: | 7858271684 |
NPI Enumeration Date: | 10/08/2015 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |