Healthcare Provider Details

I. General information

NPI: 1083535108
Provider Name (Legal Business Name): AMBER RAE CHRISTEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 S 2ND AVE
BROKEN BOW NE
68822-3037
US

IV. Provider business mailing address

44371 DRIVE 802
BROKEN BOW NE
68822-5569
US

V. Phone/Fax

Practice location:
  • Phone: 308-872-6303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: