Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1176 | WI |
Y | 222Z00000X | Podiatrist | 1176 | WI |
N | 213ES0103X | Foot & Ankle Surgery | 07001361A | IN |
NPI | 1053817379 |
---|---|
Provider Name | Dr. Andrea Jane Okas Cifaldi |
First Address | Shelbyville, IN 46176-8846 |
Second Address | Shelbyville, IN 46176-8575 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2018 |
Last Update Date | 24/03/2021 |