Provider Demographics
NPI:1871569905
Name:REID, CHRISTINE J (MS ANP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:J
Last Name:REID
Suffix:
Gender:F
Credentials:MS ANP
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Mailing Address - Street 1:714 MAIN ST
Mailing Address - Street 2:SUITE 706A, BICKFORD HEALTH ASSOCIATES,PC
Mailing Address - City:YARMOUTH PORT
Mailing Address - State:MA
Mailing Address - Zip Code:02675-2000
Mailing Address - Country:US
Mailing Address - Phone:508-362-1600
Mailing Address - Fax:508-362-1616
Practice Address - Street 1:714 MAIN ST
Practice Address - Street 2:SUITE 706A, BICKFORD HEALTH ASSOCIATES,PC
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-2000
Practice Address - Country:US
Practice Address - Phone:508-362-1600
Practice Address - Fax:508-362-1616
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA111128363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0350770Medicaid
MA500017371OtherRAILROAD MEDICARE
MANP0945OtherBCBS
MANP0945Medicare PIN
MA500017371OtherRAILROAD MEDICARE