Individual
PAUL H CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
215& E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3234
(208) 463-3044
Mailing address
217 W GEORGIA AVE, SUITE 115, NAMPA, ID 83686-6811
(208) 463-3234
(208) 463-3044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP483A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010017487
BLUE SHIELD
ID
01
—
000010017488
BLUE SHIELD
ID
05
—
805233800
—
ID
01
—
970019572
RAILROAD MEDICARE
ID
01
—
PA811
BLUE CROSS
ID
01
—
PA860
BLUE CROSS
ID
Enumeration date
10/21/2005
Last updated
12/11/2009
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