Provider Demographics
NPI:1699257261
Name:CHRISTIANSON, JANET JOSEPHINE (FNP-C)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:JOSEPHINE
Last Name:CHRISTIANSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:JOSEPHINE
Other - Last Name:LUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1656 CENTRAL ST W
Mailing Address - Street 2:
Mailing Address - City:BAGLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56621-4357
Mailing Address - Country:US
Mailing Address - Phone:218-368-0390
Mailing Address - Fax:
Practice Address - Street 1:1656 CENTRAL ST W
Practice Address - Street 2:
Practice Address - City:BAGLEY
Practice Address - State:MN
Practice Address - Zip Code:56621-4357
Practice Address - Country:US
Practice Address - Phone:218-694-2384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6144363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily