Healthcare Provider Details

I. General information

NPI: 1457000820
Provider Name (Legal Business Name): ALICIA ANN CHRISTENSEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 E HAMPTON ST
TUCSON AZ
85712-2919
US

IV. Provider business mailing address

1617 HARTKE PL
LAS VEGAS NV
89104-3542
US

V. Phone/Fax

Practice location:
  • Phone: 520-420-2260
  • Fax: 520-420-2261
Mailing address:
  • Phone: 503-312-0552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberLL3876
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number78953
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: