Healthcare Provider Details

I. General information

NPI: 1598711780
Provider Name (Legal Business Name): CHRISTINE DALE RAUCCI APRN-BC, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 CONSTITUTION LN SUITE 300A
DANVERS MA
01923-3694
US

IV. Provider business mailing address

85 CONSTITUTION LN SUITE 300A
DANVERS MA
01923-3694
US

V. Phone/Fax

Practice location:
  • Phone: 978-750-0755
  • Fax: 978-750-0766
Mailing address:
  • Phone: 978-750-0755
  • Fax: 978-750-0766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number125049
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: