Provider Demographics
NPI:1750817698
Name:CHRISTINE F SVENSON, ARNP, LLC
Entity Type:Organization
Organization Name:CHRISTINE F SVENSON, ARNP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:F
Authorized Official - Last Name:SVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:941-400-4704
Mailing Address - Street 1:PO BOX 5575
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-5575
Mailing Address - Country:US
Mailing Address - Phone:941-400-4704
Mailing Address - Fax:941-343-9110
Practice Address - Street 1:5602 MARQUESAS CIR
Practice Address - Street 2:SUITE 209
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3310
Practice Address - Country:US
Practice Address - Phone:941-400-4704
Practice Address - Fax:941-343-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2757192261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S99296Medicare UPIN