Provider Demographics
NPI:1457962102
Name:CHRISTIAN, ROXANNE (FNP-BC, NP-C, MSN)
Entity Type:Individual
Prefix:MS
First Name:ROXANNE
Middle Name:
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:FNP-BC, NP-C, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 GOLF COURSE RD SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-4731
Mailing Address - Country:US
Mailing Address - Phone:505-225-7040
Mailing Address - Fax:505-225-7028
Practice Address - Street 1:11916 ECHO VALLEY LN NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-4364
Practice Address - Country:US
Practice Address - Phone:505-620-8176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-14
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM61076363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily