MEDICARE: KRISTINA HILL FIFE FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95028841	CA

General Provider Information

NPI Number	:	1740013283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA HILL FIFE FNP-BC

Provider Business Mailing Address
First Line	:	24422 AVENIDA DE LA CARLOTA STE 130
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3618
Country	:	US
Telephone Number	:	949-313-8740
Fax Number	:

Provider Business Practice Location Address
First Line	:	24422 AVENIDA DE LA CARLOTA STE 130
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3618
Country	:	US
Telephone Number	:	949-313-8740
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	08/21/2024

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