Healthcare Provider Details

I. General information

NPI: 1659061141
Provider Name (Legal Business Name): CHRISTOPHER THOMAS OGDEN RN, FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 EAST ST STE 200
REDDING CA
96001-0801
US

IV. Provider business mailing address

1355 EAST ST STE 200
REDDING CA
96001-0801
US

V. Phone/Fax

Practice location:
  • Phone: 530-605-4260
  • Fax:
Mailing address:
  • Phone: 530-605-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024915
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: