Provider Demographics
NPI:1023796737
Name:ISURIN-CHRISTIANSEN, NATALIA (RN)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:ISURIN-CHRISTIANSEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:ANGWIN
Mailing Address - State:CA
Mailing Address - Zip Code:94508-0072
Mailing Address - Country:US
Mailing Address - Phone:323-270-3339
Mailing Address - Fax:
Practice Address - Street 1:5820 STONERIDGE MALL RD STE 330
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3200
Practice Address - Country:US
Practice Address - Phone:707-225-1187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA720436163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management