Provider Demographics
NPI:1730361825
Name:CHRISTENSEN, DEBRA ANN (APNP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:REBMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 BAY PARK SQ
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54304-5104
Mailing Address - Country:US
Mailing Address - Phone:920-592-9475
Mailing Address - Fax:
Practice Address - Street 1:301 BAY PARK SQ
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-5104
Practice Address - Country:US
Practice Address - Phone:920-592-9475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI141387-030363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
3308-33OtherAPNP
WI330350049Medicare Oscar/Certification
WI401600080Medicare Oscar/Certification
WI073100044Medicare Oscar/Certification
WI002107845Medicare Oscar/Certification
3308-33OtherAPNP
WI430751200Medicare Oscar/Certification
WI100200050Medicare Oscar/Certification
WI002150204Medicare Oscar/Certification
WIWI1119006Medicare Oscar/Certification
WI072900036Medicare Oscar/Certification
WI802100029Medicare Oscar/Certification
WI401600080Medicare Oscar/Certification