Healthcare Provider Details

I. General information

NPI: 1922667005
Provider Name (Legal Business Name): CHRISTINE E ROONEY MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE E BERTONI MSN,RN

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 BEACON ST
BROOKLINE MA
02446-5302
US

IV. Provider business mailing address

35 BAYVIEW ST
WEYMOUTH MA
02191-1207
US

V. Phone/Fax

Practice location:
  • Phone: 339-502-4717
  • Fax:
Mailing address:
  • Phone: 617-794-2149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberRN267276
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: