Individual
CHRISTINE L DITULLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
336 THOMPSON RD, WEBSTER, MA 01570-1587
(508) 943-5224
(508) 949-2211
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2281850
MA
363LF0000X
Family Nurse Practitioner
RN2281850
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2281850
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110104395A
—
MA
Enumeration date
07/21/2015
Last updated
09/03/2024
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