Individual
AVA MIDORI CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-2273
Mailing address
1216 LILLIAN ST, LIVERMORE, CA 94550-3517
(925) 337-5559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008200
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1172305
NCCPA
—
Enumeration date
08/04/2020
Last updated
01/22/2025
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