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NPI Code Detail

MEDICARE: CHRISTINA CONNELLY CPNP

MEDICARE: CHRISTINA CONNELLY CPNP
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
1363LP0200XPediatric Nurse Practitioner194565MA

General Provider Information

NPI Number : 1427030345
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA CONNELLY CPNP
Provider Business Mailing Address
First Line : 477 ANDOVER ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5036
Country : US
Telephone Number : 978-975-3355
Fax Number :
Provider Business Practice Location Address
First Line : 477 ANDOVER ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5036
Country : US
Telephone Number : 978-975-3355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1184615957 — ELISABETH BEATRICE WINTERKORN MD
Practice Location Address:
477 ANDOVER ST , CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER
NORTH ANDOVER, MA
01845-5036
Practice Phone: 978-975-3355
Practice Fax: 978-975-3510
1548242464 — MARJORIE PALMER BURTON CPNP
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477 ANDOVER ST
NORTH ANDOVER, MA
01845-5036
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Practice Fax:
1952377996 — DANIEL A SUMMERS MD
Practice Location Address:
477 ANDOVER ST
NORTH ANDOVER, MA
01845-5036
Practice Phone: 978-975-3355
Practice Fax:
1144262874 — CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC
Practice Location Address:
477 ANDOVER ST
NORTH ANDOVER, MA
01845-5036
Practice Phone: 978-975-3355
Practice Fax:
1356401723 — DR. RICHARD JAY HELLER M.D.
Practice Location Address:
471 ANDOVER ST
NORTH ANDOVER, MA
01845-5036
Practice Phone: 978-725-8900
Practice Fax: 978-327-5205
1679796882 — RONALD VERLE NORRIS MD
Practice Location Address:
451 ANDOVER STREET , #301
NORTH ANDOVER, MA
01845-5036
Practice Phone: 508-454-5379
Practice Fax:

Directions to “ CHRISTINA CONNELLY CPNP” Practice Location

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