Provider Demographics
NPI:1881055101
Name:CHRISTENSEN, CHERIE MAY (CPM, LM)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:MAY
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BARTON HILLS DR
Mailing Address - Street 2:APT 223
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-1902
Mailing Address - Country:US
Mailing Address - Phone:512-924-2183
Mailing Address - Fax:
Practice Address - Street 1:1200 BARTON HILLS DR
Practice Address - Street 2:APT 223
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-1902
Practice Address - Country:US
Practice Address - Phone:512-924-2183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99241176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife