Provider Demographics
NPI:1760798763
Name:MACASIEB, CHRISTINE ORLINA (NP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ORLINA
Last Name:MACASIEB
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 PARNASSUS AVE # A808
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0350
Mailing Address - Country:US
Mailing Address - Phone:415-885-3799
Mailing Address - Fax:
Practice Address - Street 1:400 PARNASSUS AVE # A808
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0350
Practice Address - Country:US
Practice Address - Phone:415-885-3799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19396363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner