Healthcare Provider Details

I. General information

NPI: 1194601716
Provider Name (Legal Business Name): CHRISTINE MARLEE AYE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 TRAVIS BLVD
FAIRFIELD CA
94533-3804
US

IV. Provider business mailing address

110 RUGBY RD
LONGMEADOW MA
01106-1532
US

V. Phone/Fax

Practice location:
  • Phone: 707-424-3865
  • Fax:
Mailing address:
  • Phone: 413-531-3401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WF0300X
TaxonomyFlight Registered Nurse
License NumberRN2370782
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2370782
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2370782
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: