Provider Demographics
NPI:1720098155
Name:KARVER-CHRISTENSON, ELYSE (CNM)
Entity Type:Individual
Prefix:
First Name:ELYSE
Middle Name:
Last Name:KARVER-CHRISTENSON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3497 CORTE CURVA
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-9501
Mailing Address - Country:US
Mailing Address - Phone:760-634-2818
Mailing Address - Fax:
Practice Address - Street 1:1130 2ND ST
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5008
Practice Address - Country:US
Practice Address - Phone:760-943-9994
Practice Address - Fax:760-943-1661
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW276367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAQ39012Medicare UPIN