Provider Demographics
NPI:1700939188
Name:DUTTON, CHRISTINE M (APRN)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:DUTTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 W MEADOW ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:MA
Mailing Address - Zip Code:01474-1048
Mailing Address - Country:US
Mailing Address - Phone:978-512-1442
Mailing Address - Fax:
Practice Address - Street 1:173 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5224
Practice Address - Country:US
Practice Address - Phone:603-891-4520
Practice Address - Fax:603-891-4414
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA192546363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0710920Medicaid
NH30346692Medicaid
NH30346692Medicaid