DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHRISTINA NOELLE OTIS APRN, MSN, FNP-C

MEDICARE: CHRISTINA NOELLE OTIS APRN, MSN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN2380082MA

General Provider Information

NPI Number : 1679252795
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA NOELLE OTIS APRN, MSN, FNP-C
Provider Business Mailing Address
First Line : 63 MAIN ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-4042
Country : US
Telephone Number : 508-559-6699
Fax Number :
Provider Business Practice Location Address
First Line : 63 MAIN ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-4042
Country : US
Telephone Number : 508-559-6699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 04/14/2026

Similar Medicare Providers

1912840430 — ROSALI SANTIAGO RN
Practice Location Address:
63 MAIN ST
BROCKTON, MA
02301-4042
Practice Phone: 508-559-6699
Practice Fax:
1982602223 — KATHLEEN P PRINGLE CNM
Practice Location Address:
63 MAIN ST
BROCKTON, MA
02301-4042
Practice Phone: 508-559-6699
Practice Fax: 508-559-5073
1093714909 — CHRISTINE MURCOTT MD
Practice Location Address:
63 MAIN ST
BROCKTON, MA
02301-4042
Practice Phone: 508-559-6699
Practice Fax:
1497749584 — DR. BENJAMIN DAVID LIGHTFOOT MD
Practice Location Address:
63 MAIN ST
BROCKTON, MA
02301-4042
Practice Phone: 508-559-6699
Practice Fax: 508-559-1475
1659356269 — SUSAN M WENTE CNM
Practice Location Address:
63 MAIN ST
BROCKTON, MA
02301-4042
Practice Phone: 508-559-6699
Practice Fax: 508-583-4649
1861450181 — HENRY E WOODCOME OD
Practice Location Address:
63 MAIN ST , BROCKTON NEIGHBORHOOD HEALTH CENTER
BROCKTON, MA
02301-4042
Practice Phone: 508-894-3503
Practice Fax: 508-559-5073

Directions to “ CHRISTINA NOELLE OTIS APRN, MSN, FNP-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.