Provider Demographics
NPI:1275985673
Name:CHRISTENSEN, ERIN (DNP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 NE SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:EARLHAM
Mailing Address - State:IA
Mailing Address - Zip Code:50072-1054
Mailing Address - Country:US
Mailing Address - Phone:515-360-2485
Mailing Address - Fax:
Practice Address - Street 1:570 NE SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:EARLHAM
Practice Address - State:IA
Practice Address - Zip Code:50072-1054
Practice Address - Country:US
Practice Address - Phone:515-360-2485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA115337363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily