Provider Demographics
NPI:1598067803
Name:SOMSEN, CHRISTY GENE (PA - C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:GENE
Last Name:SOMSEN
Suffix:
Gender:F
Credentials:PA - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3325 RESEARCH WAY
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-7913
Mailing Address - Country:US
Mailing Address - Phone:775-888-6610
Mailing Address - Fax:775-888-4904
Practice Address - Street 1:925 WELLS AVE
Practice Address - Street 2:
Practice Address - City:WEST WENDOVER
Practice Address - State:NV
Practice Address - Zip Code:89883
Practice Address - Country:US
Practice Address - Phone:775-664-2220
Practice Address - Fax:775-664-2965
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA1781363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1598067803Medicaid