Provider Demographics
NPI:1609161942
Name:CHRISTENSON, CATHERINE LOUISE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LOUISE
Last Name:CHRISTENSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 LAGRANDE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-2393
Mailing Address - Country:US
Mailing Address - Phone:352-430-0064
Mailing Address - Fax:
Practice Address - Street 1:314 LAGRANDE BLVD STE A
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-2393
Practice Address - Country:US
Practice Address - Phone:352-430-0064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1866262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily