Individual
CLARISSA CIENFUEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
(309) 268-5867
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.441783
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.0267333
IL
Other
Enumeration date
12/05/2022
Last updated
09/04/2025
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