Cifelli, Christine Jo
Cifelli, Christine Jo is an individual health care provider with primary practice located at 1090 3Rd St , South Lake Tahoe CA 96150-3485. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Cifelli, Christine Jo can be contacted via phone (530) 543-5660.Contact Information
Primary practice address
1090 3Rd St
South Lake Tahoe CA 96150-3485
Phone: (530) 543-5660
Fax: (530) 542-1619
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 6374 | California |
Nursing Service Providers / Registered Nurse | 163W00000X | 425110 | California |
Profile Details
NPI number | 1043209059 |
---|---|
LBN Legal business name | Cifelli, Christine Jo |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2005 |
Last updated | Sep 20th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043209059 | NPPES |
California | MEDICAID | 1043209059 | |
California | MEDICAID | 1043209059 |
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