Individual
ANDREA LIANE CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
391
CT
367A00000X
Advanced Practice Midwife
CMW00139
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008056418
—
CT
01
—
4094445
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/23/2005
Last updated
12/10/2014
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