Christen M Anderson, NP

Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Waltham, MA

NPI 1982889986 · NPPES record last updated Dec 16, 2025

Key facts

NPI
1982889986
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Nurse Practitioner 363LX0001X
License
264611 (MA)
Practice address
130 Second Ave
Waltham, MA 02451-1158
Phone
(781) 434-6500
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
264611MAMDObstetrics & Gynecology Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 264611 MA Yes

Addresses

Primary practice location

130 Second Ave
Waltham, MA 02451-1158

Mailing address

132 Dover St
Medford, MA 02155-2322
Phone (781) 866-2648

Other practice location 1

132 Dover St
Medford, MA 02155-2322
Phone (781) 866-2648

Other providers in Waltham, MA

All providers in Waltham, MA · Obstetrics & Gynecology Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.