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ANDREA LIANE CHRISTIANSON CNM
>> Midwife, Certified Nurse >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1700889920
Individual Registrant: ANDREA LIANE CHRISTIANSON CNM
Gender: F
Not Sole Proprietor
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
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
Tel: 203-613-8884 Fax: 203-613-8886
Registration Information:
NPI: 1700889920
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers Midwife, Certified Nurse | CT | 391 |
| N | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers Midwife, Certified Nurse | RI | CMW00139 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 4094445 | TN | 01 |
| 008056418 | CT | 05 |
