Healthcare Provider Details

I. General information

NPI: 1720363534
Provider Name (Legal Business Name): CHRISTINA ZINNA MEADE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA MARIE ZINNA PMHNP

II. Dates (important events)

Enumeration Date: 10/13/2011
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MERRIMACK ST STE 141
LAWRENCE MA
01843-1780
US

IV. Provider business mailing address

280 MERRIMACK ST STE 141
LAWRENCE MA
01843-1780
US

V. Phone/Fax

Practice location:
  • Phone: 508-901-4686
  • Fax:
Mailing address:
  • Phone: 508-901-4686
  • Fax: 508-492-2961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2270553
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2270553
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: