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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043209059 NPPES
California MEDICAID 1043209059
California MEDICAID 1043209059

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