Individual
TAYLOR CHRISTINE PUDDISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 WARD HILL AVE, HAVERHILL, MA 01835-6928
(978) 372-8000
Mailing address
50 DOLPHIN RD, NEWTON, MA 02459-1305
(617) 290-4245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
068379-21
NH
163W00000X
Registered Nurse
RN2288813
MA
363L00000X
Nurse Practitioner
Primary
RN2288813
MA
363LA2100X
Acute Care Nurse Practitioner
068379-23
NH
363LA2100X
Acute Care Nurse Practitioner
RN2288813
MA
Other
Enumeration date
08/01/2016
Last updated
12/30/2020
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