| Christina L Tanner, CRNA | |
| 
					222 Medical Cir, Morehead, KY 40351-1179  | |
| (606) 783-6400 | |
| Not Available | 
| Full Name | Christina L Tanner | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 222 Medical Cir, Morehead, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760766414 | NPI | - | NPPES | 
| 1099532 | Other | KY | KY MEDICAL LICENSE | 
| 0076316 | Medicaid | OH | |
| 7100411890 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.12654-NA (Ohio) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 1099532 (Kentucky) | Primary | 
| Entity Name | Promedica Central Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christina L Tanner, CRNA 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-6942  | Christina L Tanner, CRNA 222 Medical Cir, Morehead, KY 40351-1179 Ph: (606) 783-6400  | 
Lauren Harwood, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6513 Fax: 606-783-6489  | |
Denita Joy Ray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6500 Fax: 606-783-6904  | |
Emily Sue Mason, NP-C Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6521 Fax: 606-783-6904  | |
Cynthia Jo Blankenship, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6504  | |
Cindy D Hanner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6500  | |
Philip W Vankersen, MD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 222 Medical Cir, Morehead, KY 40351 Phone: 606-783-6500 Fax: 606-783-6904  | |
Kristie Lynn Mullins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 222 Medical Circle, Morehead, KY 40351 Phone: 606-783-6500 Fax: 606-783-6570  |