Provider Demographics
NPI:1275876286
Name:CHRISTISON, ELIZABETH ROHINI (NP-C)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ROHINI
Last Name:CHRISTISON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BENEDICT AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5429
Mailing Address - Country:US
Mailing Address - Phone:203-798-6974
Mailing Address - Fax:
Practice Address - Street 1:1 GLEN HILL RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4921
Practice Address - Country:US
Practice Address - Phone:203-744-2840
Practice Address - Fax:203-792-1521
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTA1212030.363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health