Individual
MICHELLE RENEE CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 325-1990
Mailing address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 325-1990
(712) 325-0288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001570
IA
363A00000X
Physician Assistant
899
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
899
NE LICENSE
NE
Enumeration date
07/05/2005
Last updated
08/14/2024
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