=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194601716
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTINE MARLEE AYE RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2025
-----------------------------------------------------
Last Update Date | 08/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 759 CHESTNUT ST
-----------------------------------------------------
City | SPRINGFIELD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01199-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-794-0000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 110 RUGBY RD
-----------------------------------------------------
City | LONGMEADOW
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01106-1532
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-531-3401
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WM0705X
-----------------------------------------------------
Taxonomy Name | Medical-Surgical Registered Nurse
-----------------------------------------------------
License Number | RN2370782
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163WF0300X
-----------------------------------------------------
Taxonomy Name | Flight Registered Nurse
-----------------------------------------------------
License Number | RN2370782
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------