Provider Demographics
NPI:1093000481
Name:CHRISTENSEN, MARY F HARRIS (APRN)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:F HARRIS
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 SURFSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68528-1748
Mailing Address - Country:US
Mailing Address - Phone:402-499-5069
Mailing Address - Fax:
Practice Address - Street 1:4700 VALLEY RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4846
Practice Address - Country:US
Practice Address - Phone:402-499-5069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111174363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology