Provider Demographics
NPI:1184397671
Name:CHRISTENSEN, DEBORAH (APRN-CNS)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:APRN-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 W BLOOMINGTON DR S APT 5
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7547
Mailing Address - Country:US
Mailing Address - Phone:435-632-3916
Mailing Address - Fax:
Practice Address - Street 1:650 CASTRO ST STE 120-522
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-2055
Practice Address - Country:US
Practice Address - Phone:435-632-3916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT204237-4405364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology