Provider Demographics
NPI:1588648133
Name:DINIS, CHRISTINA F (NP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:F
Last Name:DINIS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:354 BIRNIE AVE STE 202
Mailing Address - Street 2:HAMPDEN COUNTY PHYSICIAN ASSOC LLC
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1109
Mailing Address - Country:US
Mailing Address - Phone:413-733-3470
Mailing Address - Fax:413-733-5235
Practice Address - Street 1:354 BIRNIE AVE
Practice Address - Street 2:STE 202
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1108
Practice Address - Country:US
Practice Address - Phone:413-733-3470
Practice Address - Fax:413-733-5235
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2012-06-06
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Provider Licenses
StateLicense IDTaxonomies
MA234785363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q26358Medicare UPIN
MANP4780Medicare PIN
P00162805Medicare PIN