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Heather Mae Christenson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

12280 Lake Underhill Rd, Orlando, FL 32825-5009

PECOS Enrollment

This provider is enrolled in PECOS as HEATHER CHRISTENSON.

Based on the most recent information from CMS, provider Heather Mae Christenson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1316312655
Provider Type
Individual
Full Name
Christenson, Heather Mae
Credential
FNPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/12/2015
Last Updated
10/18/2024

Contact Information

Practice Location

12280 Lake Underhill Rd, Orlando, FL 32825-5009

(866) 389-2727

Unlisted Fax

Mailing Location

611 S Howard Ave, Tampa, FL 33606-2412

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9458040 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9458040 Florida
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License CNP4306 Minnesota
Code 363LP0808X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9458040 Florida

Heather Mae Christenson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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