Ilene L Cristdahl, MD LAC is a
Naturopath based in Nevada City, California. Ilene L Cristdahl is licensed to practice in California (license number ND143) and her current practice location is
101 Providence Mine Rd, Suite 104, Nevada City, California. She can be reached at her office (for appointments etc.) via phone at
(530) 470-8707.
NPI number for Ilene L Cristdahl is 1194943183 and her current mailing address is 101 Providence Mine Rd, Suite 104, Nevada City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194943183.
Healthcare Provider's Profile
Full Name | Ilene L Cristdahl |
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Gender | Female |
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Speciality | Naturopath |
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Location | 101 Providence Mine Rd, Nevada City, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194943183
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 07/19/2016
Medical Identifiers
Medical identifiers for Ilene L Cristdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194943183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC2301 (California) | Secondary |
175F00000X | Naturopath | ND143 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ilene L Cristdahl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ilene L Cristdahl, MD LAC 101 Providence Mine Rd, Suite 104, Nevada City, CA 95959-2939 Ph: (530) 470-8707 | Ilene L Cristdahl, MD LAC 101 Providence Mine Rd, Suite 104, Nevada City, CA 95959-2939 Ph: (530) 470-8707 |
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