Provider Demographics
NPI:1518503705
Name:CHRISTENSEN, CLARISSA LYNN (CNM)
Entity Type:Individual
Prefix:MS
First Name:CLARISSA
Middle Name:LYNN
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:123 E POTTER DR UNIT 9
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-1376
Mailing Address - Country:US
Mailing Address - Phone:702-606-5735
Mailing Address - Fax:
Practice Address - Street 1:1867 AIRPORT WAY STE 160B
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4062
Practice Address - Country:US
Practice Address - Phone:800-769-0045
Practice Address - Fax:206-788-8339
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-12-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife