Individual
CHRISTINE C. FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-5278
Mailing address
3409 NANCY PL, SHOREVIEW, MN 55126-8040
(651) 387-5098
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
173168-2
MN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
173168-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43151599
—
ME
Enumeration date
04/17/2006
Last updated
05/02/2008
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