Provider Demographics
NPI:1871782607
Name:VON SEGGERN, CHRISTINA MARIE (RN, MSN, FNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:VON SEGGERN
Suffix:
Gender:F
Credentials:RN, MSN, FNP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 MORRISSEY BLVD
Mailing Address - Street 2:UNIVERSITY HEALTH SERVICES
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-3300
Mailing Address - Country:US
Mailing Address - Phone:617-287-5660
Mailing Address - Fax:617-287-3977
Practice Address - Street 1:100 MORRISSEY BLVD
Practice Address - Street 2:UNIVERSITY HEALTH SERVICES
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-3300
Practice Address - Country:US
Practice Address - Phone:617-287-5660
Practice Address - Fax:617-287-3977
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273054163WP0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0200XNursing Service ProvidersRegistered NursePediatrics