Provider Demographics
NPI:1083007637
Name:CHRISTENSEN, PAULA MERRY (FNP)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:MERRY
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:MERRY
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:1100 HOLLENBECK LN
Mailing Address - Street 2:
Mailing Address - City:DEER LODGE
Mailing Address - State:MT
Mailing Address - Zip Code:59722-2317
Mailing Address - Country:US
Mailing Address - Phone:406-846-1722
Mailing Address - Fax:406-846-3074
Practice Address - Street 1:1100 HOLLENBECK LN
Practice Address - Street 2:
Practice Address - City:DEER LODGE
Practice Address - State:MT
Practice Address - Zip Code:59722-2317
Practice Address - Country:US
Practice Address - Phone:406-846-1722
Practice Address - Fax:406-846-3074
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN-LIC22411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily