Wallace, Christine Lupa

Wallace, Christine Lupa is an individual health care provider with primary practice located at 25 Highland Ave , Newburyport MA 01950-3867. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wallace, Christine Lupa can be contacted via phone (978) 463-1050.

Contact Information

Primary practice address
25 Highland Ave Newburyport MA 01950-3867
Phone: (978) 463-1050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 138593 Massachusetts

Profile Details

NPI number 1356303820
LBN Legal business name Wallace, Christine Lupa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Apr 18th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356303820 NPPES
Massachusetts Other NP1484 BCBS

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