Provider Demographics
NPI:1285811521
Name:HOUSTON, CHRISTENA LYNNE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTENA
Middle Name:LYNNE
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1900 W 47TH PL
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-1815
Mailing Address - Country:US
Mailing Address - Phone:913-549-7601
Mailing Address - Fax:913-261-7517
Practice Address - Street 1:1900 W 47TH PL
Practice Address - Street 2:SUITE 400
Practice Address - City:WESTWOOD
Practice Address - State:KS
Practice Address - Zip Code:66205-1815
Practice Address - Country:US
Practice Address - Phone:913-549-7601
Practice Address - Fax:913-261-7517
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS45589363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSQ23952Medicare UPIN