Provider Demographics
NPI:1831211242
Name:CHRISTENSEN, FAITH A (ND, RN)
Entity type:Individual
Prefix:DR
First Name:FAITH
Middle Name:A
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:ND, RN
Other - Prefix:MRS
Other - First Name:FAITH
Other - Middle Name:A
Other - Last Name:TAKAKURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND, RN
Mailing Address - Street 1:56 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MANITOU SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80829-1747
Mailing Address - Country:US
Mailing Address - Phone:719-651-4383
Mailing Address - Fax:
Practice Address - Street 1:56 PARK AVE
Practice Address - Street 2:
Practice Address - City:MANITOU SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80829-1747
Practice Address - Country:US
Practice Address - Phone:719-651-4383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 1072175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath