Provider Demographics
NPI:1295944817
Name:CRABTREE, CHRIS-ANNE (CRNA)
Entity type:Individual
Prefix:
First Name:CHRIS-ANNE
Middle Name:
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MERCY WAY
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-4524
Mailing Address - Country:US
Mailing Address - Phone:417-556-3570
Mailing Address - Fax:417-556-6475
Practice Address - Street 1:100 MERCY WAY
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4524
Practice Address - Country:US
Practice Address - Phone:417-556-3570
Practice Address - Fax:417-556-6475
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001018397367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200577270AMedicaid
MOP01428863OtherRAIL ROAD MEDICARE
MO1295944817Medicaid
KS201106320AMedicaid
OK200577270AMedicaid
MOP01428863OtherRAIL ROAD MEDICARE