Christianson, Andrea Liane

Christianson, Andrea Liane is an individual health care provider with primary practice located at 411 Durham Rd Birth And Beyond, Madison CT 06443-2041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Christianson, Andrea Liane can be contacted via phone (203) 613-8884.

Contact Information

Primary practice address
411 Durham Rd Birth And Beyond Madison CT 06443-2041
Phone: (203) 613-8884
Fax: (203) 613-8886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 391 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CMW00139 Rhode Island

Profile Details

NPI number 1700889920
LBN Legal business name Christianson, Andrea Liane
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 10th, 2014 - about 10 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 1700889920 NPPES
Tennessee Other 4094445 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 008056418 BLUE CROSS BLUE SHIELD

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