Provider Demographics
NPI:1245470871
Name:COLE, CHRISTIE A (CRNA)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:A
Last Name:COLE
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:VA SAN DIEGO HEALTHCARE SYSTEM
Mailing Address - Street 2:(MC 125) 3350 LA JOLLA VILLAGE DRIVE
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92161-0001
Mailing Address - Country:US
Mailing Address - Phone:858-642-3292
Mailing Address - Fax:858-534-0104
Practice Address - Street 1:VA SAN DIEGO HEALTHCARE SYSTEM
Practice Address - Street 2:(MC 125) 3350 LA JOLLA VILLAGE DRIVE
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0001
Practice Address - Country:US
Practice Address - Phone:858-642-3292
Practice Address - Fax:858-534-0104
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2021-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN330299L367500000X
CA95000346367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered