Provider Demographics
NPI:1003673609
Name:PIERRE-VICTOR, CHRISTINE FLORIVAL (DOULA, CCE)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:FLORIVAL
Last Name:PIERRE-VICTOR
Suffix:
Gender:F
Credentials:DOULA, CCE
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:FLORIVAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DOULA, CCE
Mailing Address - Street 1:48 MONTVALE RD
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-3555
Mailing Address - Country:US
Mailing Address - Phone:508-927-6813
Mailing Address - Fax:
Practice Address - Street 1:48 MONTVALE RD
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3555
Practice Address - Country:US
Practice Address - Phone:508-927-6813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula