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Individual

AMY A CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Mailing address
474 W 200 N, SUITE 300, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
282466-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
282466-4405
STATE LICENSE - APRN
UT
01
282466-8900
STATE LICENSE - CON SUB
UT
Enumeration date
10/10/2006
Last updated
02/12/2008
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