Provider Demographics
NPI:1932114790
Name:AGIUS, CHRISTINE R (RN, MSN, NP-C, RNC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:R
Last Name:AGIUS
Suffix:
Gender:F
Credentials:RN, MSN, NP-C, RNC
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:DANA 1255
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA 1255
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-2335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA252284363LA2200X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health