Provider Demographics
NPI:1467734038
Name:MALONEY, CHRISTINA M (PNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:MALONEY
Suffix:
Gender:F
Credentials:PNP
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Other - First Name:
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Mailing Address - Street 1:100 MORSE STREET
Mailing Address - Street 2:2ND FLOOR, STE: 220
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3316
Mailing Address - Country:US
Mailing Address - Phone:781-769-5227
Mailing Address - Fax:781-440-9142
Practice Address - Street 1:100 MORSE STREET
Practice Address - Street 2:2ND FLOOR, STE: 220
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3316
Practice Address - Country:US
Practice Address - Phone:781-769-5227
Practice Address - Fax:781-440-9142
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN/NP264678363LP0200X
MARN264678363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics