Healthcare Provider Details

I. General information

NPI: 1639410137
Provider Name (Legal Business Name): ANGELA CHRISTNER & ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 01/17/2022
Certification Date: 01/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W WALNUT ST
OGDEN IA
50212-2046
US

IV. Provider business mailing address

125 W WALNUT ST
OGDEN IA
50212-2046
US

V. Phone/Fax

Practice location:
  • Phone: 877-424-9321
  • Fax: 515-275-2534
Mailing address:
  • Phone: 877-424-9321
  • Fax: 515-275-2534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA-095302
License Number StateIA

VIII. Authorized Official

Name: ANGELA LYNN CHRISTNER
Title or Position: NURSE PRACTITIONER
Credential: ARNP
Phone: 877-424-9321