Individual ProviderChristine B CulhaneNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709(703) 295-9360(516) 945-3107PECOS EnrollmentBased on the most recent information from CMS, provider Christine B Culhane does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1073608873Provider TypeIndividualFull NameCulhane, Christine BTitleMs.CredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date10/4/2006Last Updated5/5/2016Contact InformationPractice LocationPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709Phone(703) 295-9360Fax(703) 295-9369Mailing LocationMailing Address68 S Service Rd, Suite 350, Melville, NY 11747-2354Phone(516) 945-3107Fax(516) 945-3131Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024096831VirginiaProvider IdentifiersIDDescriptionIssuerID139180DescriptionOtherIssuerANTHEMVirginiaID484645DescriptionOtherIssuerNCPPOVirginiaID1073608873DescriptionMedicaidIssuerUnlistedVirginiaIDK142-0002DescriptionOtherIssuerCAREFIRSTDistrict of Columbia