Provider Demographics
NPI:1588750608
Name:PRICE, CHRISTOPHER W (CRNA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:W
Last Name:PRICE
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 1:10 WAYMAN LN
Mailing Address - Street 2:MOUNT DESERT ISLAND HOSPITAL
Mailing Address - City:BAR HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04609-1625
Mailing Address - Country:US
Mailing Address - Phone:207-288-5081
Mailing Address - Fax:207-288-7024
Practice Address - Street 1:10 WAYMAN LN
Practice Address - Street 2:MOUNT DESERT ISLAND HOSPITAL
Practice Address - City:BAR HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04609-1625
Practice Address - Country:US
Practice Address - Phone:207-288-5081
Practice Address - Fax:207-288-8600
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER017502367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEJX1050OtherMEDICARE - MDIH
MER017502OtherLICENSE
MEMM7872Medicare PIN