Provider Demographics
NPI:1710745328
Name:RIOUX, CHRISTYNA
Entity Type:Individual
Prefix:
First Name:CHRISTYNA
Middle Name:
Last Name:RIOUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 PETERSON RD
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:MA
Mailing Address - Zip Code:01069-9847
Mailing Address - Country:US
Mailing Address - Phone:413-313-4392
Mailing Address - Fax:
Practice Address - Street 1:120 PETERSON RD
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-9847
Practice Address - Country:US
Practice Address - Phone:413-313-4392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN88593164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse