Provider Demographics
NPI:1215072921
Name:TANGREDI, CHRISTINA M (ARNP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:M
Last Name:TANGREDI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 ETNA RD
Mailing Address - Street 2:SUITE NUMBER 350
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1455
Mailing Address - Country:US
Mailing Address - Phone:603-448-0055
Mailing Address - Fax:603-727-9042
Practice Address - Street 1:67 ETNA RD
Practice Address - Street 2:SUITE NUMBER 350
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1455
Practice Address - Country:US
Practice Address - Phone:603-448-0055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003574363LG0600X, 363LA2200X
FLARNP9281348363LA2200X, 363LG0600X
NH067541-23363LA2200X
NH067651-23363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology