Healthcare Provider Details

I. General information

NPI: 1528777588
Provider Name (Legal Business Name): CHRISTINE AUCLAIR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2022
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 PLYMOUTH AVE STE 701
FALL RIVER MA
02721-4300
US

IV. Provider business mailing address

203 PLYMOUTH AVE STE 701
FALL RIVER MA
02721-4300
US

V. Phone/Fax

Practice location:
  • Phone: 508-235-5445
  • Fax: 508-235-5445
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN04235
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: