Provider Demographics
NPI:1578919163
Name:CHRISTENSON, ANNA LORRAINE
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LORRAINE
Last Name:CHRISTENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 GODWARD ST NE STE 6650
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2960
Mailing Address - Country:US
Mailing Address - Phone:612-353-4669
Mailing Address - Fax:612-354-2403
Practice Address - Street 1:1300 GODWARD ST NE STE 6650
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2960
Practice Address - Country:US
Practice Address - Phone:612-353-4669
Practice Address - Fax:612-354-2403
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR077838-7163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health