Basic Information
| Provider Information | |||||||||
| NPI: | 1144390931 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCARDLE | ||||||||
| FirstName: | CHRISTEEN | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 197 ADAMS RD | ||||||||
| Address2: | |||||||||
| City: | WILLIAMSTOWN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 012672930 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136645900 | ||||||||
| FaxNumber: | 4136645731 | ||||||||
| Practice Location | |||||||||
| Address1: | 77 HOSPITAL AVE STE 300 | ||||||||
| Address2: | |||||||||
| City: | NORTH ADAMS | ||||||||
| State: | MA | ||||||||
| PostalCode: | 012472538 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136645959 | ||||||||
| FaxNumber: | 4136645773 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 01/08/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA3826 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.