Individual
CHRISTINE JO CIFELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1090 3RD ST, SOUTH LAKE TAHOE, CA 96150-3485
(530) 543-5660
(530) 542-1619
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
425110
CA
363L00000X
Nurse Practitioner
Primary
6374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043209059
—
CA
05
—
1043209059
—
NV
Enumeration date
10/21/2005
Last updated
09/20/2012
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