Provider Demographics
NPI:1720363534
Name:MEADE, CHRISTINA ZINNA (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:ZINNA
Last Name:MEADE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARIE
Other - Last Name:ZINNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:280 MERRIMACK ST STE 141
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1780
Mailing Address - Country:US
Mailing Address - Phone:508-901-4686
Mailing Address - Fax:508-492-2961
Practice Address - Street 1:41 GARRISON ROAD
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445
Practice Address - Country:US
Practice Address - Phone:617-277-8107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2270553163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse