Individual provider · Type 1 NPI
Christina Fasolas
Psychiatric/Mental Health Nurse Practitioner · Boston, MA
NPI number
1477120905
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
15 Parkman St Ste 815
Boston, MA 02114-3117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2337289 (MA) |
| Registered Nurse | 163W00000X | RN2337289 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1477120905
Christina Fasolas's National Provider Identifier is 1477120905, issued on Jun 3, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boston, MA. The record was last updated on Nov 13, 2025.