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Individual

KARRIE CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7250 CLEARVISTA DR STE 380, INDIANAPOLIS, IN 46256
(317) 621-3700
(317) 621-3701
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28191746A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005009A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201261940
IN
01
P01678717
RR MEDICARE
IN
Enumeration date
05/08/2014
Last updated
03/28/2024
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