Healthcare Provider Details

I. General information

NPI: 1760684708
Provider Name (Legal Business Name): CHRISTINE L. PICARD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 06/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 TRAPELO RD
BELMONT MA
02478-4457
US

IV. Provider business mailing address

26 TRAPELO RD
BELMONT MA
02478-4457
US

V. Phone/Fax

Practice location:
  • Phone: 617-990-7896
  • Fax:
Mailing address:
  • Phone: 617-990-7896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number181227
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code364SP0812X
TaxonomyCommunity Psychiatric/Mental Health Clinical Nurse Specialist
License Number181227
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: