Individual provider · NPI-1

Keith Christensen, APN, FNP

Nurse Practitioner, Family · Peru, IL

NPI number1255844189
StatusActive
Last updated in NPPESNov 14, 2017

Details

NPI
1255844189
Entity type
Individual (NPI-1)
Name
Keith Christensen
Credential
APN, FNP
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 14, 2017
Last updated
Nov 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family209.016759ILYes

Practice location

1650 Midtown Rd
Peru, IL 61354-1200

Phone 815-664-5311

Mailing address

27661 W Drake Dr Apt 244
Channahon, IL 60410-8795

Phone 815-735-1807

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