CHRISTINE ANNA CORALLINO


Address: 14 Foster Street, #3, Boston, MA 02109
Phone: (603) 867-1960

CHRISTINE ANNA CORALLINO (NPI# 1366961310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366961310
Entity Type Individual
Full Name CHRISTINE ANNA CORALLINO
Credential AGPCNP-BC
Practice Address 14 Foster Street
#3
Boston
MA 02109
Mailing Address 14 Foster St Apt 3
Boston
MA 02109-5519
Practice Telephone (603) 867-1960
Mailing Telephone 6038671960
Enumeration Date 2017-09-11
Last Update Date 2017-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
2017009488 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA ANCC 2017009488 01

Office Location

Street Address 14 FOSTER STREET
#3
City BOSTON
State MA
Zip Code 02109

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1366593774 Laurie A Talarico Nurse Practitioner 239 Causeway St, 2nd Floor, Boston, MA 02114-2130 2007-01-13
1235237173 Katherine Concilio Nurse Practitioner 72 E Concord Street, Robinson 2, Boston, MA 02118 2006-09-21
1770191868 Lindsey Anne Landwehrle Nurse Practitioner 10 Gove St, Boston, MA 02128-1931 2020-07-15
1356977193 Ricky Pamphile Nurse Practitioner 75 Francis St, Boston, MA 02115-6110 2020-03-12
1184271637 Susan Jane Ulery Nurse Practitioner 800 Washington St, Boston, MA 02111-1552 2019-08-20
1952865735 Vanny Mclean Nurse Practitioner 72 E Concord Street, Robinson 2, Boston, MA 02118 2019-01-26
1699276808 Neuza Barros Fernandes Nurse Practitioner 150 S Huntington Ave, Boston, MA 02130-4817 2018-02-22
1023522497 Tram T Tran Nurse Practitioner 732 Harrison Ave, Preston, 2nd Floor, Boston, MA 02118 2017-11-21
1780197194 Junnie Angelina Charles Nurse Practitioner 70 Fulton St, Boston, MA 02109-1402 2017-11-07
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Competitor

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City BOSTON
Zip Code 02109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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