Provider Demographics
NPI:1912659426
Name:CRAIG, CHRISTINA MARIE (AGNP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:CRAIG
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:451 ANDOVER ST STE 205
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5079
Mailing Address - Country:US
Mailing Address - Phone:978-983-2435
Mailing Address - Fax:781-480-1981
Practice Address - Street 1:100 SMITHFIELD RD
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-5382
Practice Address - Country:US
Practice Address - Phone:401-353-1710
Practice Address - Fax:401-353-1618
Is Sole Proprietor?:No
Enumeration Date:2022-01-25
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIAPRN03793363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care