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CHRISTOPHER J ANDERSON APRN FNP-BC

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1669889820

Individual Registrant:
 CHRISTOPHER J ANDERSON APRN FNP-BC
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

Contact information for business:
12 ROOSEVELT AVE STE 2  MYSTIC, CT 06355-2832 US
Tel: 860-245-4126  Fax: 877-927-0171

Registration Information:
NPI: 1669889820
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
RINPP37885
N363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
RIAPRN01322
Y363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CT005820

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CT - Page 1



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