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NPI Code Detail

MEDICARE: MRS. ALICIA ANN CHRISTENSEN MD

MEDICARE: MRS. ALICIA ANN CHRISTENSEN MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramLL3876NV

General Provider Information

NPI Number : 1457000820
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA ANN CHRISTENSEN MD
Provider Business Mailing Address
First Line : 1617 HARTKE PL
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-3542
Country : US
Telephone Number : 503-312-0552
Fax Number :
Provider Business Practice Location Address
First Line : 1701 W CHARLESTON BLVD STE 290
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2302
Country : US
Telephone Number : 702-671-2385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 05/26/2023

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