Provider Demographics
NPI:1326189085
Name:CHRISTILLES, MAUREEN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:
Last Name:CHRISTILLES
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 1:5 MICHELLE LN
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3164
Mailing Address - Country:US
Mailing Address - Phone:603-434-6248
Mailing Address - Fax:603-434-9406
Practice Address - Street 1:50 NASHUA RD
Practice Address - Street 2:SUITE 103
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3400
Practice Address - Country:US
Practice Address - Phone:603-434-9733
Practice Address - Fax:603-434-9406
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH029081-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH029081-23-03OtherARNP LICENSE
NP2323Medicare ID - Type Unspecified