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Individual

CHRISTINE E TACKLIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, CNS

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 724-1710
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 724-1710

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
21717
CA
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
3661
CA

Other

Enumeration date
03/28/2012
Last updated
08/10/2012
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