Healthcare Provider Details

I. General information

NPI: 1235109935
Provider Name (Legal Business Name): CRISTINA FALCIONE COLLINS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 10/13/2020
Certification Date: 10/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

YOUVILLE HOSPITAL 1575 CAMBRIDGE STREET
CAMBRIDGE MA
02138
US

IV. Provider business mailing address

259 MAIN ST
MEDFORD MA
02155-5629
US

V. Phone/Fax

Practice location:
  • Phone: 617-876-4344
  • Fax: 617-234-7981
Mailing address:
  • Phone: 781-395-9009
  • Fax: 617-234-7981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number216688
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN216688
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: