| Doctor Name: | CHRISTINE H. TELLIS |
| NPI Number: | 1326442492 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | NP95000048 |
| Business Practice Address: | 66675 Pierson Blvd Desert Hot Springs, CA - 922403737 |
| Business Phone Number: | 7606765240 |
| Business Fax Number: | |
| Mailing Address: | 57675 29 Palms Hwy, Suite 111 YUCCA VALLEY |
| State: | CA |
| Postal Code: | 922843098 |
| Phone Number: | 7603658500 |
| Fax Number: | 7603658599 |
| NPI Enumeration Date: | 10/17/2014 |
| NPI Last Update Date: | 05/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP95000048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |