Individual
CHRISTINA NOELLE OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, FNP-C
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2380082
MA
363L00000X
Nurse Practitioner
Primary
RN2380082
MA
Other
Enumeration date
07/17/2023
Last updated
04/14/2026
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