Gautreau, Christina Marie

Gautreau, Christina Marie is an individual health care provider with primary practice located at 1055 Commonwealth Ave , Boston MA 02215-1001. She recently has only one registered license in Nursing Service Providers / Women's Health Care, Ambulatory, which is considered as her primary health care specialty. Gautreau, Christina Marie can be contacted via phone (617) 295-7235.

Contact Information

Primary practice address
1055 Commonwealth Ave Boston MA 02215-1001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X RN2348194 Massachusetts

Profile Details

NPI number 1568169324
LBN Legal business name Gautreau, Christina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2023
Last updated Feb 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568169324 NPPES
Massachusetts MEDICAID PENDING

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