Christianson, Andrea Liane
Christianson, Andrea Liane is an individual health care provider with primary practice located at 411 Durham Rd Birth And Beyond, Madison CT 06443-2041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Christianson, Andrea Liane can be contacted via phone (203) 613-8884.Contact Information
Primary practice address
411 Durham Rd Birth And Beyond
Madison CT 06443-2041
Phone: (203) 613-8884
Fax: (203) 613-8886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 391 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | CMW00139 | Rhode Island |
Profile Details
| NPI number | 1700889920 |
|---|---|
| LBN Legal business name | Christianson, Andrea Liane |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Dec 10th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700889920 | NPPES |
| Tennessee | Other | 4094445 | BLUE CROSS BLUE SHIELD |
| Tennessee | MEDICAID | 008056418 | BLUE CROSS BLUE SHIELD |
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