Provider Demographics
NPI:1710189568
Name:SHEETZ, CHRISTINE G (CRNA)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:G
Last Name:SHEETZ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:G
Other - Last Name:ROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:100 GANNETT DR STE C
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-5900
Mailing Address - Country:US
Mailing Address - Phone:207-828-0361
Mailing Address - Fax:207-874-1483
Practice Address - Street 1:84 MARGINAL WAY STE 1000
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-2477
Practice Address - Country:US
Practice Address - Phone:207-347-2898
Practice Address - Fax:207-553-1415
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER035644367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME000621901Medicare PIN