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Individual

JANIE S CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 E 100 N, PAYSON, UT 84651-1600
(801) 174-8486
(801) 733-5872
Mailing address
23 S 500 W, SALEM, UT 84653-9304
(801) 423-1969

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
187107-4406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
193294
IHC
UT
01
343840
DESERET MUTUAL
UT
01
48252
PEHP
UT
01
870525882CH2
EDUCATORS MUTUAL
UT
01
PRA02845
MOLINA
UT
01
QM0000076595
ALTIUS
UT
Enumeration date
09/13/2006
Last updated
07/08/2007
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