Medros, Christine R

Medros, Christine R is an individual health care provider with primary practice located at 47 High St Ste 101 , North Andover MA 01845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Medros, Christine R can be contacted via phone (502) 244-9859.

Contact Information

Primary practice address
47 High St Ste 101 North Andover MA 01845
Phone: (502) 244-9859
Fax: (770) 573-9513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN183121 Massachusetts

Profile Details

NPI number 1508937822
LBN Legal business name Medros, Christine R
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Sep 24th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508937822 NPPES
Massachusetts MEDICAID 110013530A
Massachusetts Other NP240402

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