Individual
CHRISTINA M. SANSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
55 FRUIT ST, GRAY BUILDING, SUITE 502, BOSTON, MA 02114
(857) 238-5700
(617) 643-0669
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 632-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236104
MA
363L00000X
Nurse Practitioner
236104
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
236104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP9555
BCBSMA PROVIDER NUMBER
MA
Enumeration date
07/28/2007
Last updated
08/02/2018
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