Provider Demographics
NPI:1114595121
Name:RASMUSSEN, CHRISTOPHER (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:RASMUSSEN
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 N HILL TER
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76031-7856
Mailing Address - Country:US
Mailing Address - Phone:817-600-6819
Mailing Address - Fax:
Practice Address - Street 1:1320 W EVERMAN PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76134-4950
Practice Address - Country:US
Practice Address - Phone:178-061-1468
Practice Address - Fax:817-969-3161
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1049373363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily