Individual
EVAN H CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1025 GARNER FIELD RD, UVALDE, TX 78801-4809
(830) 278-6251
Mailing address
1400 E LEONA RD, UVALDE, TX 78801-4866
(801) 673-3072
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
343983-4406
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
793080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005586321
NAS MEDICARE NORIDIAN
UT
05
—
121617100
—
WY
01
—
245816
ALTIUS
UT
01
—
25078
HEALTHY U
UT
01
—
34398344000001
FEDERAL BLUE CROSS
UT
01
—
8401401924EVE
EDUCATORS MUTUAL
UT
01
—
841870
DESERET MUTUAL
UT
01
—
84794
PEHP
UT
01
—
QMP000003334770
MOLINA
UT
Enumeration date
07/20/2006
Last updated
02/29/2012
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