Doctor Name: | MARTIN ERROL CHRISTENSEN |
NPI Number: | 1275906844 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN |
License Number: | 93308 |
Business Practice Address: | 821 E Veterans Memorial Hwy Blanchard, OK - 730109215 |
Business Phone Number: | 4054859588 |
Business Fax Number: | 4054853499 |
Mailing Address: | 821 E Veterans Memorial Hwy, BLANCHARD |
State: | OK |
Postal Code: | 730109215 |
Phone Number: | 4054859588 |
Fax Number: | 4054853499 |
NPI Enumeration Date: | 11/04/2015 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 93308 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |