Provider Demographics
NPI:1578223483
Name:BAIDA, CYNDLE ALESSANDRA (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:CYNDLE
Middle Name:ALESSANDRA
Last Name:BAIDA
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13905 BLANCO LN
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-6911
Mailing Address - Country:US
Mailing Address - Phone:951-295-3072
Mailing Address - Fax:
Practice Address - Street 1:13905 BLANCO LN
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-6911
Practice Address - Country:US
Practice Address - Phone:951-295-3072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-20
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty