Provider Demographics
NPI:1720976418
Name:NACIONALES, LEIALOHA (RN MSN CNL)
Entity type:Individual
Prefix:
First Name:LEIALOHA
Middle Name:
Last Name:NACIONALES
Suffix:
Gender:F
Credentials:RN MSN CNL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37937 ORANGE BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-4303
Mailing Address - Country:US
Mailing Address - Phone:424-533-3040
Mailing Address - Fax:
Practice Address - Street 1:43500 RIDGE PARK DR
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-3624
Practice Address - Country:US
Practice Address - Phone:951-308-2200
Practice Address - Fax:760-763-0671
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95135796163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator