MEDICARE: DR. TAWNI J 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
1	207P00000X	Emergency Medicine Physician	10154	NV
2	208D00000X	General Practice Physician	10154	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10154	OTHER	NV	MD LICENSEN

General Provider Information

NPI Number	:	1881640662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAWNI J CHRISTENSEN MD

Provider Business Mailing Address
First Line	:	1000 N GREEN VALLEY PKWY # 440-493
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-6163
Country	:	US
Telephone Number	:	702-906-0027
Fax Number	:	702-906-0160

Provider Business Practice Location Address
First Line	:	5495 S RAINBOW BLVD STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1873
Country	:	US
Telephone Number	:	702-906-0027
Fax Number	:	702-906-0160

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	08/01/2022

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