| Doctor Name: | MICHAEL CHRISTENSEN |
| NPI Number: | 1003162215 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ACNP |
| License Number: | AP4660 |
| Business Practice Address: | 934 W 600 S Layton, UT - 840413591 |
| Business Phone Number: | 8015100970 |
| Business Fax Number: | |
| Mailing Address: | 934 W 600 S, LAYTON |
| State: | UT |
| Postal Code: | 840413591 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2012 |
| NPI Last Update Date: | 09/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | AP4660 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |