Amber L Christensen
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Two Harbors, MN
NPI 1346051083 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1346051083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 1083798 (MN)
- Practice address
- 2417 Holm Rd
Two Harbors, MN 55616-1359 - Phone
- (218) 216-5966
- NPI assigned
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1083798 | MN | MD | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 1083798 | MN | Yes |
Addresses
Primary practice location
2417 Holm Rd
Two Harbors, MN 55616-1359
Mailing address
2417 Holm Rd
Two Harbors, MN 55616-1359
Phone (218) 216-5966
Other providers in Two Harbors, MN
- Lisa D Bucklew
- Jennifer Bushmaker
- Sara Byrns
- Daniel Cahill
- Cardinal Comfort Care Cooperative
- Faith Clark
- Melissa I Clark
- Lee Jeffrey Cohen
- Olivia Cooper
- Bryan W Cox
All providers in Two Harbors, MN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.