Individual
MS. SUE ANN R CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
1055 N 300 W, SUITE 410, PROVO, UT 84604-3344
(801) 357-7883
(801) 357-7975
Mailing address
1055 N 300 W STE 410, PROVO, UT 84604-3354
(801) 357-7883
(801) 357-7975
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
216783-4405
UT
Other
Enumeration date
05/08/2007
Last updated
07/12/2007
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