MEDICARE: CHRISTOPHER WILLIAM DRISCOLL SR. PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN2335482	MA

General Provider Information

NPI Number	:	1548831274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER WILLIAM DRISCOLL SR. PMHNP

Provider Business Mailing Address
First Line	:	163 MAIN ST STE 6-G
Second Line	:
City	:	MEDWAY
State	:	MA
Zip	:	02053-1533
Country	:	US
Telephone Number	:	508-682-5102
Fax Number	:	508-296-8873

Provider Business Practice Location Address
First Line	:	25 BIRCH ST
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-3585
Country	:	US
Telephone Number	:	781-551-0999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2021
Last Update Date	:	01/12/2026

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