Doctor Name: | PETER CHRISTIAN |
NPI Number: | 1053567404 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN CDE |
License Number: | 24603 |
Business Practice Address: | 3245 Hospital Dr Juneau, AK - 998017809 |
Business Phone Number: | 9074634082 |
Business Fax Number: | |
Mailing Address: | Po Box 33214, JUNEAU |
State: | AK |
Postal Code: | 998033214 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 08/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | 24603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |