Christine Elise Dussault
Individual provider Active NPI Licensed Practical Nurse · Athol, MA
NPI 1831870328 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1831870328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LN98449 (MA)
- Practice address
- 163 Green St
Athol, MA 01331-2604 - Phone
- (978) 830-4911
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN98449 | MA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN98449 | MA | Yes |
Addresses
Primary practice location
163 Green St
Athol, MA 01331-2604
Mailing address
163 Green St
Athol, MA 01331-2604
Phone (978) 830-4911
Other providers in Athol, MA
- Robyn Lori Bernstein Donati
- Leanne Elizabeth Dos Santos
- Tracy Dowd
- Barbara Doyle
- Dr. Essam Khedr, DPM, LLC
- Dwight K Stowell Jr DMD
- David Dyke
- Ashley Marie Ehlen
- Eye Center Optical
- Jody Ann Farinelli
All providers in Athol, MA · Licensed Practical Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.