Provider Demographics
NPI:1649549569
Name:DILORENZO, CHRISTINA MARION (RN, CNS)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARION
Last Name:DILORENZO
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:MARION
Other - Last Name:CHAFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNS
Mailing Address - Street 1:168 DONNER AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-2735
Mailing Address - Country:US
Mailing Address - Phone:614-638-8717
Mailing Address - Fax:
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-1169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA658547364SC2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC2300XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistChronic Care