Christiansen, Craig

Christiansen, Craig is an individual health care provider with primary practice located at 223 16Th Ave N , Nampa ID 83687-4058. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Christiansen, Craig can be contacted via phone (208) 466-7869.

Contact Information

Primary practice address
223 16Th Ave N Nampa ID 83687-4058
Fax: (208) 466-5359
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP 771A Idaho

Profile Details

NPI number 1720187875
LBN Legal business name Christiansen, Craig
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720187875 NPPES
Idaho Other N25878 RN LICENSE

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