Provider Demographics
NPI:1326728585
Name:RINALDY, PRISCILLIA (APRN)
Entity Type:Individual
Prefix:MS
First Name:PRISCILLIA
Middle Name:
Last Name:RINALDY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7682 COLONY PALM DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-1312
Mailing Address - Country:US
Mailing Address - Phone:561-876-7682
Mailing Address - Fax:
Practice Address - Street 1:7682 COLONY PALM DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-1312
Practice Address - Country:US
Practice Address - Phone:561-876-7682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11027656363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily