Provider Demographics
NPI:1992158406
Name:CHRISTENSEN, ARICA LANAE (DNP-CPNP)
Entity type:Individual
Prefix:MS
First Name:ARICA
Middle Name:LANAE
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:DNP-CPNP
Other - Prefix:MS
Other - First Name:ARICA
Other - Middle Name:LANAE
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP-CPNP
Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-955-4170
Mailing Address - Fax:
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226
Practice Address - Country:US
Practice Address - Phone:414-955-4170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-20
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL309.010033363L00000X
WI8318363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209.014523OtherIL APN LICENSE
WI1992158406Medicaid
IL309.010033OtherCONTROLLED SUBSTANCE