Provider Demographics
NPI:1609674571
Name:CHRISTIANSEN, RONDA
Entity type:Individual
Prefix:
First Name:RONDA
Middle Name:
Last Name:CHRISTIANSEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8640 LEXINGTON AVE APT 406
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-3671
Mailing Address - Country:US
Mailing Address - Phone:408-873-2206
Mailing Address - Fax:
Practice Address - Street 1:2673 S 10TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3453
Practice Address - Country:US
Practice Address - Phone:402-209-4805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant