Provider Demographics
NPI:1396978722
Name:CHRISTENSEN, DONNA J (FNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:J
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3282 E RIVERNEST LN
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-6928
Mailing Address - Country:US
Mailing Address - Phone:208-841-2232
Mailing Address - Fax:208-576-6930
Practice Address - Street 1:3152 S BOWN WAY STE 101
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706
Practice Address - Country:US
Practice Address - Phone:208-922-7055
Practice Address - Fax:208-576-6930
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP922A363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily