Provider Demographics
NPI:1093992000
Name:DUBE, CHRISTINE ANN (NPC ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ANN
Last Name:DUBE
Suffix:
Gender:F
Credentials:NPC ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 NEWPORT RD STE A
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-5466
Mailing Address - Country:US
Mailing Address - Phone:603-526-1716
Mailing Address - Fax:603-527-1714
Practice Address - Street 1:255 NEWPORT RD STE A
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257-5466
Practice Address - Country:US
Practice Address - Phone:603-526-1716
Practice Address - Fax:603-526-1714
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHF0807341207Q00000X
NH04379423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3074359Medicaid