Provider Demographics
NPI:1376532341
Name:SVENSON, CHRISTINE F (ARNP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:F
Last Name:SVENSON
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: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:941-379-9110
Mailing Address - Fax:941-343-9110
Practice Address - Street 1:3402 MAGIC OAK LN
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-1812
Practice Address - Country:US
Practice Address - Phone:941-379-9110
Practice Address - Fax:941-343-9110
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2757192363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01114350OtherAMERIGROUP
FL12056514OtherMULTIPLAN
FL2042249OtherCIGNA
FL2119230650202OtherBEECH STREET
FL268553000OtherMAGELLAN
FL763022101Medicaid
FLY5215OtherBCBS
FLN281000OtherSTAYWELL/WELLCARE
FL142648OtherVALUE OPTIONS
FL20348OtherEVOLUTIONS
FL763022101Medicaid
FLY5215Medicare PIN