Provider Demographics
NPI:1871544726
Name:AUSTIN, CHRISTI H (CRNA)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:H
Last Name:AUSTIN
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 1:1108 E YACHT DR
Mailing Address - Street 2:
Mailing Address - City:OAK ISLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28465
Mailing Address - Country:US
Mailing Address - Phone:910-278-4218
Mailing Address - Fax:
Practice Address - Street 1:1108 E YACHT DR
Practice Address - Street 2:
Practice Address - City:OAK ISLAND
Practice Address - State:NC
Practice Address - Zip Code:28465-6447
Practice Address - Country:US
Practice Address - Phone:910-278-4218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC050888367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8000308Medicaid
NC260623BMedicare ID - Type Unspecified