Doctor Name: | MRS. CHRISTINE J REID |
NPI Number: | 1871569905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS ANP |
License Number: | 111128 |
Business Practice Address: | 714 Main St Suite 706a, Bickford Health Associates,pc Yarmouth Port, MA - 026752000 |
Business Phone Number: | 5083621600 |
Business Fax Number: | 5083621616 |
Mailing Address: | 714 Main St, Suite 706a, Bickford Health Associates,pc YARMOUTH PORT |
State: | MA |
Postal Code: | 026752000 |
Phone Number: | 5083621600 |
Fax Number: | 5083621616 |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 11/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 111128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |