MEDICARE: CATHY MARGARET CHRISTENSEN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704212754	MI

General Provider Information

NPI Number	:	1124328000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY MARGARET CHRISTENSEN NP

Provider Business Mailing Address
First Line	:	2311 SHELBY AVE
Second Line	:	SUITE 201A
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-3849
Country	:	US
Telephone Number	:	734-448-0226
Fax Number	:	734-212-2121

Provider Business Practice Location Address
First Line	:	2370 LEFORGE RD
Second Line	:
City	:	SUPERIOR TOWNSHIP
State	:	MI
Zip	:	48198-9638
Country	:	US
Telephone Number	:	734-448-0226
Fax Number	:	734-448-0226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	08/11/2014

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