Provider Demographics
NPI:1497432306
Name:WHITE, PRISCELE CRISTINA (APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:PRISCELE
Middle Name:CRISTINA
Last Name:WHITE
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:MRS
Other - First Name:PRISCELE
Other - Middle Name:CRISTINA
Other - Last Name:NASCIMENTO NOGUEIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28078 BAXTER RD STE 530
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-1405
Mailing Address - Country:US
Mailing Address - Phone:951-566-5229
Mailing Address - Fax:
Practice Address - Street 1:28078 BAXTER RD STE 530
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-1405
Practice Address - Country:US
Practice Address - Phone:951-566-5229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95025500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily