MEDICARE: MRS. ANASTASIA DESIREE CHRISTENSEN APRN

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	363LA2200X	Adult Health Nurse Practitioner	A005985	AR

General Provider Information

NPI Number	:	1295209500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANASTASIA DESIREE CHRISTENSEN APRN

Provider Business Mailing Address
First Line	:	4196 HIGHWAY 62 412 STE A
Second Line	:
City	:	HARDY
State	:	AR
Zip	:	72542-8002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1176 STATE HIGHWAY 22 W STE B
Second Line	:
City	:	DARDANELLE
State	:	AR
Zip	:	72834-3006
Country	:	US
Telephone Number	:	479-229-3004
Fax Number	:

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

Provider Enumeration Date	:	01/20/2019
Last Update Date	:	10/14/2025

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