JONATHAN CHRISTOPHERSEN

FORT WAYNE, IN
NPI1902344906
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NH  077500-23)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  RN9395160)
Enumeration Date2017-02-09
Last Update Date2021-08-27
Business Address
JONATHAN CHRISTOPHERSEN CRNA
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
JONATHAN CHRISTOPHERSEN CRNA
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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