Provider Demographics
NPI:1437128600
Name:BURTON, CHRISTOPHER EDWARD (CRNA)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:EDWARD
Last Name:BURTON
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 OAKCLIFFE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8666
Mailing Address - Country:US
Mailing Address - Phone:336-674-6209
Mailing Address - Fax:
Practice Address - Street 1:3901 OAKCLIFFE RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8666
Practice Address - Country:US
Practice Address - Phone:336-674-6209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC70400367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8051766Medicaid
NC2606037AMedicare PIN