MEDICARE: KATHERINE CHRISTENSON PA-C

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	363A00000X	Physician Assistant	PA9117856	FL

General Provider Information

NPI Number	:	1760268809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE CHRISTENSON PA-C

Provider Business Mailing Address
First Line	:	5880 49TH ST N STE N104
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2150
Country	:	US
Telephone Number	:	727-528-6100
Fax Number	:	727-528-7895

Provider Business Practice Location Address
First Line	:	5880 49TH ST N STE N106
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2150
Country	:	US
Telephone Number	:	727-528-6100
Fax Number	:	727-528-7895

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

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	02/18/2026

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