| Clarissa Cienfuegos, CRNA | |
|
1302 Franklin Ave, Normal, IL 61761-3551 | |
| (309) 268-5867 | |
| Not Available |
| Full Name | Clarissa Cienfuegos |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1302 Franklin Ave, Normal, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053022632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 041.441783 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209.0267333 (Illinois) | Primary |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Clarissa Cienfuegos, CRNA 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: () - | Clarissa Cienfuegos, CRNA 1302 Franklin Ave, Normal, IL 61761-3551 Ph: (309) 268-5867 |
Ann Schoen, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Abdi Hassan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5227 | |
Leah Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Anthony Griffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Anthony Cienfuegos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 | |
Mr. Dodi Suhari, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 | |
Valentina Fillman, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |