# CRISTI EGENOLF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053391565
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12488 | NH | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 08/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01YP07954NH01 | ANTHEM BCBS | NH |
| 05 | — | 30204901 | — | NH |
| 01 | — | 3742083 | AETNA USHC | NH |
| 01 | — | 468068 | TUFTS | NH |
| 01 | — | 792596 | MVP | NH |
| 01 | — | G73110 | HARVARD | NH |
