Individual
NATHAN L CHRISTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3132
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R 198898-5
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
71003368A
IN
363LA2200X
Adult Health Nurse Practitioner
R198898-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055980
—
IN
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00954357
MEDICARE - RAIL ROAD
MN
Enumeration date
09/08/2010
Last updated
06/09/2025
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