Healthcare Provider Details

I. General information

NPI: 1982593745
Provider Name (Legal Business Name): CHRISTINE N ANDRADE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2025
Last Update Date: 06/28/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 DERBY ST STE 200
HINGHAM MA
02043-4216
US

IV. Provider business mailing address

99 DERBY ST STE 200
HINGHAM MA
02043-4216
US

V. Phone/Fax

Practice location:
  • Phone: 781-361-3697
  • Fax:
Mailing address:
  • Phone: 781-361-3697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: