MEDICARE: SHELA TAHSA CRISTIANI

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	163W00000X	Registered Nurse	95437380	CA

General Provider Information

NPI Number	:	1700748423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELA TAHSA CRISTIANI

Provider Business Mailing Address
First Line	:	20565 SPRING ST
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-0128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20565 SPRING ST
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-0128
Country	:	US
Telephone Number	:	951-215-8604
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ SHELA TAHSA CRISTIANI ” Practice Location

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