Basic Information
Provider Information
NPI: 1700162187
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHRISTIANSEN
FirstName: BRITTANY
MiddleName: PAIGE
NamePrefix:  
NameSuffix:  
Credential: APRN CPNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6300 LA CALMA DR
Address2: SUITE 200
City: AUSTIN
State: TX
PostalCode: 787523843
CountryCode: US
TelephoneNumber: 5124528533
FaxNumber: 5126100392
Practice Location
Address1: 4900 MUELLER BLVD
Address2: DELL CHILDREN'S MEDICAL CENTER
City: AUSTIN
State: TX
PostalCode: 787233051
CountryCode: US
TelephoneNumber: 5123240150
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/28/2011
LastUpdateDate: 01/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200X761050TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


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