Individual
MARISA D. CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2116 W LABURNUM AVE, RICHMOND, VA 23227-4359
(804) 254-3500
(804) 254-1616
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101238103
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101238103
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010189951
—
VA
Enumeration date
09/29/2006
Last updated
08/25/2025
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