Provider Demographics
NPI:1114908894
Name:FERRERI, CHRISTINA L (ARNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:L
Last Name:FERRERI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 MAMMOTH RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03109-4133
Mailing Address - Country:US
Mailing Address - Phone:603-663-8350
Mailing Address - Fax:603-663-8399
Practice Address - Street 1:275 MAMMOTH RD
Practice Address - Street 2:SUITE #1
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03109-4133
Practice Address - Country:US
Practice Address - Phone:603-663-8350
Practice Address - Fax:603-663-8399
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH041964-23-03363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1203432OtherUHC PIN
NH22272YOtherANTHEM REFERRING RAN
NH589609OtherCIGNA PIN
NH419642OtherTUFTS PIN
NH30343075Medicaid
NHP71443OtherHPHC PIN
NH419642OtherTUFTS PIN
NH30343075Medicaid