Healthcare Provider Details

I. General information

NPI: 1053773598
Provider Name (Legal Business Name): BARBARA LYNN CHRISTIANSEN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3723 W 12600 S
RIVERTON UT
84065-7295
US

IV. Provider business mailing address

3723 W 12600 S
RIVERTON UT
84065-7295
US

V. Phone/Fax

Practice location:
  • Phone: 801-285-4546
  • Fax: 801-285-4289
Mailing address:
  • Phone: 801-285-4546
  • Fax: 801-285-4289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number10395901-1204
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number10395901-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: