Provider Demographics
NPI:1578899399
Name:CHRISTENSON, ELIZABETH RUTH STREY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:RUTH STREY
Last Name:CHRISTENSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:RUTH
Other - Last Name:STREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11921 ROCKVILLE PIKE STE 402
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2757
Mailing Address - Country:US
Mailing Address - Phone:425-658-2254
Mailing Address - Fax:301-888-8261
Practice Address - Street 1:11921 ROCKVILLE PIKE STE 402
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2757
Practice Address - Country:US
Practice Address - Phone:425-658-2254
Practice Address - Fax:301-888-8261
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0004061363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant