Healthcare Provider Details

I. General information

NPI: 1306754569
Provider Name (Legal Business Name): CHRISTINE SCHIFSKY C-FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISSIE SCHIFSKY C-FNP

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 POST RD
LINO LAKES MN
55014-1997
US

IV. Provider business mailing address

455 POST RD
LINO LAKES MN
55014-1997
US

V. Phone/Fax

Practice location:
  • Phone: 651-373-6955
  • Fax:
Mailing address:
  • Phone: 651-373-6955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number1941663
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: