Individual
CRAIG CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
223 16TH AVE N, NAMPA, ID 83687-4058
(208) 466-7869
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 467-7684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 771A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N25878
RN LICENSE
ID
Enumeration date
09/22/2006
Last updated
07/08/2007
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