Maureen Marie Tracy Christensen, RN

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

4704240923 Issued in MI

Practice address

782 Broadway
Davisburg, MI 48350-2402

Phone

(313) 410-3734

NPI assigned

Oct 12, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1811778962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 BROADWAY",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502402",
            "telephone_number": "313-410-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 BROADWAY",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502402",
            "telephone_number": "313-410-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "MAUREEN",
        "middle_name": "MARIE TRACY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "MI",
            "license": "4704240923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Boyhtari, MED, RD
• Leigh Stewart Brewster, PH.D, M.S.W.
• Robert Allen Bringman, LMSW
• Jeffrey John Burdess
• Stacie Champeau
• Creekwood Trail Adult Foster Care Home (Creekwood Trail Family Home)
• David Tapani PLC (MI Beautiful Smile)
• Davisburg Dental Services LLC
• Dana Marie Decapite, LMSW
• Mark Allen Dennis, DDS

• Wound Care Registered Nurse in Davisburg, MI
• Providers in Davisburg, MI by specialty
• Wound Care Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.