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ANDREA LIANE CHRISTIANSON CNM

>> Midwife, Certified Nurse >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1700889920

Individual Registrant:
 ANDREA LIANE CHRISTIANSON CNM
Gender: F
Not Sole Proprietor

Location and contact information for practice:
411 DURHAM RD BIRTH AND BEYOND MADISON, CT 06443-2041 US
Tel: 203-613-8884  Fax: 203-613-8886

Contact information for business:
411 DURHAM RD BIRTH AND BEYOND MADISON, CT 06443-2041 US
Tel: 203-613-8884  Fax: 203-613-8886

Registration Information:
NPI: 1700889920
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse
CT391
N367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse
RICMW00139

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD4094445TN01
008056418CT05




HEALTH CARE JOBS CT - Page 1



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