Provider Demographics
NPI:1548456015
Name:HAAG, CHRISTINA LYNNE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LYNNE
Last Name:HAAG
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:LYNNE
Other - Last Name:PHERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:201 RIVERWAY PL
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6763
Mailing Address - Country:US
Mailing Address - Phone:603-668-8400
Mailing Address - Fax:603-629-9346
Practice Address - Street 1:201 RIVERWAY PL
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6763
Practice Address - Country:US
Practice Address - Phone:603-668-8400
Practice Address - Fax:603-629-9346
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH057729 23363LX0001X
NH05772923363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30346186Medicaid
NH000483201Medicare PIN