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NPI Code Detail

MEDICARE: MRS. CHRISTINE J REID MS ANP

MEDICARE: MRS. CHRISTINE J REID MS ANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner111128MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2500017371OTHERMARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3NP0945OTHERMABCBS

General Provider Information

NPI Number : 1871569905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE J REID MS ANP
Provider Business Mailing Address
First Line : 714 MAIN ST
Second Line : SUITE 706A, BICKFORD HEALTH ASSOCIATES,PC
City : YARMOUTH PORT
State : MA
Zip : 02675-2000
Country : US
Telephone Number : 508-362-1600
Fax Number : 508-362-1616
Provider Business Practice Location Address
First Line : 714 MAIN ST
Second Line : SUITE 706A, BICKFORD HEALTH ASSOCIATES,PC
City : YARMOUTH PORT
State : MA
Zip : 02675-2000
Country : US
Telephone Number : 508-362-1600
Fax Number : 508-362-1616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 11/24/2010

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