Healthcare Provider Details

I. General information

NPI: 1477217339
Provider Name (Legal Business Name): SARAH HUTTON CHRISTIANSON DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 10/27/2021
Certification Date: 10/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 CENTRACARE CIR
SAINT CLOUD MN
56303-5000
US

IV. Provider business mailing address

215 3RD AVE SE
NEW LONDON MN
56273-8647
US

V. Phone/Fax

Practice location:
  • Phone: 320-229-5099
  • Fax:
Mailing address:
  • Phone: 719-351-7420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8686
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: