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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ILENE L CRISTDAHL, MD LAC

Active Sole Proprietor

ILENE L CRISTDAHL, MD LAC is a Naturopath healthcare provider located in NEVADA CITY, California. NPI 1194943183 is currently active in the NPPES registry. Verify at CMS.

Naturopath · NEVADA CITY, CA

Registration Details

NPI Number
1194943183
Provider Type
Individual
Gender
Female
NPI Issued
Apr 23, 2007 (19.291142090071 yrs)
Last Updated
Jul 19, 2016
Licenses
AC2301 (CA)
ND143 (CA)
Sole Proprietor
Yes

Practice Information

Address
101 PROVIDENCE MINE RD
SUITE 104
NEVADA CITY, CA, 959592939
Browse CA providers · Browse ZIP 95959
Phone
5304708707
Fax
5308524996
Primary Specialty
Naturopath
175F00000X
Additional Specialty
Naturopath
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.