Provider Demographics
NPI:1699875237
Name:ZAVATCHEN, CHRISTINA RENAE (CRNA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:RENAE
Last Name:ZAVATCHEN
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:PO BOX 1726
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-4726
Mailing Address - Country:US
Mailing Address - Phone:731-926-2593
Mailing Address - Fax:
Practice Address - Street 1:2006 WAYNE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-2236
Practice Address - Country:US
Practice Address - Phone:731-926-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN86711367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4071356OtherBLUE CROSS BLUE SHIELD
TN28700OtherTLC
TN3631271Medicaid
TN147504OtherUNISON HEALTH PLANS
TN3631271Medicaid