Individual
CHRISTINE ANNA CORALLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
14 FOSTER STREET, #3, BOSTON, MA 02109
(603) 867-1960
Mailing address
14 FOSTER ST APT 3, BOSTON, MA 02109-5519
(603) 867-1960
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2017009488
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017009488
ANCC
MA
Enumeration date
09/11/2017
Last updated
07/21/2022
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