Drucilla Pettit Christiansen in Provo - Clinical
Drucilla Pettit Christiansen - NPI 1316152887
Drucilla Pettit Christiansen is a Clinical in Provo, Utah. Drucilla Pettit Christiansen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Drucilla Pettit Christiansen is 1316152887. The last update date is 2007-07-08.
Drucilla Pettit Christiansen's current location address is 1190 N 900 E, Provo, Utah. You can contact this provider via phone number 8014227620. The mailing address for Drucilla Pettit Christiansen is 1190 N 900 E, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Drucilla Pettit Christiansen |
|---|---|
| Address | 1190 N 900 E, Provo, Utah |
| Phone Number | 8014227620 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | C.S.W. |
NPI Number Detail
| NPI Number | 1316152887 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1190 N 900 E |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043536 |
| Phone Number | 8014227620 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5682326-3502 |
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What is the unique identification code assigned to Drucilla Pettit Christiansen by the Centers for Medicare & Medicaid Services?
The Drucilla Pettit Christiansen has been issued the NPI (National Provider Identifier) 1316152887. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Drucilla Pettit Christiansen?
The Drucilla Pettit Christiansen is situated at 1190 N 900 E, in the city of Provo, state of UT, with the zip code 846043536.
What is the area of specialization for Drucilla Pettit Christiansen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Drucilla Pettit Christiansen is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Drucilla Pettit Christiansen receive its 1316152887 assignment from the Centers for Medicare & Medicaid Services?
The Drucilla Pettit Christiansen was assigned its 1316152887 by the Centers for Medicare & Medicaid Services on 2007-05-10.
When was the Drucilla Pettit Christiansen's information last updated?
The Drucilla Pettit Christiansen's information was last updated on 2007-07-08.
NPI Number: 1194728618
Address: 10470 Valentine Rd S, Tallahassee, FL