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CHRISTOPHER J ANDERSON APRN FNP-BC
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1669889820
Individual Registrant: CHRISTOPHER J ANDERSON APRN FNP-BC
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
12 ROOSEVELT AVE SECOND FLOOR MYSTIC, CT 06355 US
Tel: 860-245-4126 Fax: 860-245-4128
Tel: 860-245-4126 Fax: 860-245-4128
Contact information for business:
12 ROOSEVELT AVE STE 2 MYSTIC, CT 06355-2832 US
Tel: 860-245-4126 Fax: 877-927-0171
Tel: 860-245-4126 Fax: 877-927-0171
Registration Information:
NPI: 1669889820
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | RI | NPP37885 |
| N | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | RI | APRN01322 |
| Y | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CT | 005820 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
