Individual
ANDREA LIANE CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
411 DURHAM RD, BIRTH AND BEYOND, MADISON, CT 06443-2041
(203) 613-8884
(203) 613-8886
Mailing address
411 DURHAM RD, BIRTH AND BEYOND, MADISON, CT 06443-2041
(203) 613-8884
(203) 613-8886
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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