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General NPI Number Information
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NPI Number | 1396978722
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Entity Type | Individual
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Provider Name | DONNA J CHRISTENSEN FNP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 3152 S BOWN WAY STE 101
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City | BOISE
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State | ID
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Zip | 83706
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Country | US
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Telephone | 208-922-7055
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Fax | 208-576-6930
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Provider Business Mailing Address
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Address Line | 3282 E RIVERNEST LN
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City | BOISE
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State | ID
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Zip | 83706-6928
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Country | US
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Telephone | 208-841-2232
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Fax | 208-576-6930
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP922A
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP922A
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License Number State | ID
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