Provider Demographics
NPI:1548585003
Name:BEMISH, CHRISTINE JOANNE (RN, LIC ACU)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JOANNE
Last Name:BEMISH
Suffix:
Gender:F
Credentials:RN, LIC ACU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HADLEY ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1058
Mailing Address - Country:US
Mailing Address - Phone:413-532-0089
Mailing Address - Fax:413-532-0092
Practice Address - Street 1:7 HADLEY ST
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-1058
Practice Address - Country:US
Practice Address - Phone:413-532-0089
Practice Address - Fax:413-532-0092
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-28
Last Update Date:2010-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2263775163W00000X
MA238175171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse