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Individual
PAUL H CHRISTENSEN
Active
Individual
PAUL H CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP483A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010017487
BLUE SHIELD
ID
01
—
000010017488
BLUE SHIELD
ID
05
—
805233800
—
ID
01
—
970019572
RAILROAD MEDICARE
ID
01
—
PA811
BLUE CROSS
ID
01
—
PA860
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
12/11/2009
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