Basic Information
Provider Information
NPI: 1649400052
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHRISTNER
FirstName: HELENE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 615 FAIRHURST ST
Address2:  
City: STERLING
State: CO
PostalCode: 807514523
CountryCode: US
TelephoneNumber: 9705220122
FaxNumber: 9705213120
Practice Location
Address1: 615 FAIRHURST ST
Address2:  
City: STERLING
State: CO
PostalCode: 807514523
CountryCode: US
TelephoneNumber: 9705220122
FaxNumber: 9705213120
Other Information
ProviderEnumerationDate: 07/20/2009
LastUpdateDate: 04/07/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XNP-5765COY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XRN-101215CON Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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