Provider Demographics
NPI:1871154963
Name:CHRISTENSON, MEGHAN ALICIA (NCMA)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ALICIA
Last Name:CHRISTENSON
Suffix:
Gender:F
Credentials:NCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 ELMORE RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5907
Mailing Address - Country:US
Mailing Address - Phone:907-729-6690
Mailing Address - Fax:907-729-6699
Practice Address - Street 1:4330 ELMORE RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5907
Practice Address - Country:US
Practice Address - Phone:907-729-6690
Practice Address - Fax:907-729-6699
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK499586247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other