Provider Demographics
NPI:1629661053
Name:CHRISTENSEN, EMILY AMANDA (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:AMANDA
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-5954
Mailing Address - Country:US
Mailing Address - Phone:479-274-6000
Mailing Address - Fax:479-484-4792
Practice Address - Street 1:3700 CLIFF DR
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-5954
Practice Address - Country:US
Practice Address - Phone:479-274-6000
Practice Address - Fax:479-484-4792
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR214647363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily