Individual
MS. KRISTINE CELESTE CORREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
114 WOODLAND ST, ST. FRANCIS HOSPITAL EMERGENCY DEPARTMENT, HARTFORD, CT 06105-1299
(860) 714-4000
Mailing address
121 LINCOLN ST, WORCESTER, MA 01605-2429
(508) 756-0514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002914
CT
363A00000X
Physician Assistant
630
MA
363A00000X
Physician Assistant
Primary
PA630
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA630
STATE OF MASSACHUSETTS
MA
Enumeration date
06/15/2006
Last updated
04/04/2024
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