Provider Demographics
NPI:1073285599
Name:ROSZIK, CHRISTIANA ADRIENNE (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:ADRIENNE
Last Name:ROSZIK
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PLEASANT STREET
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-1620
Mailing Address - Country:US
Mailing Address - Phone:978-502-7358
Mailing Address - Fax:
Practice Address - Street 1:123 TURNPIKE ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5032
Practice Address - Country:US
Practice Address - Phone:978-502-7358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-03
Last Update Date:2024-03-20
Deactivation Date:2022-04-14
Deactivation Code:
Reactivation Date:2024-03-19
Provider Licenses
StateLicense IDTaxonomies
MARN2316608163W00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty