Provider Demographics
NPI:1306288659
Name:O'CONNOR, CHRISTINE ALEXIS (NP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ALEXIS
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:38R ENON ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1166
Mailing Address - Country:US
Mailing Address - Phone:978-927-7727
Mailing Address - Fax:978-927-4598
Practice Address - Street 1:30 TOZER ROAD
Practice Address - Street 2:LAHEY HEALTH PRIMARY CARE, BEVERLY
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1166
Practice Address - Country:US
Practice Address - Phone:978-927-7727
Practice Address - Fax:978-927-4598
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2277057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily