Provider Demographics
NPI:1790427995
Name:ENRIQUEZ, MARIA CRISTINA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MARIA CRISTINA
Middle Name:
Last Name:ENRIQUEZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30150 POWDERHORN LN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-3550
Mailing Address - Country:US
Mailing Address - Phone:858-413-6765
Mailing Address - Fax:
Practice Address - Street 1:1850 W FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-3718
Practice Address - Country:US
Practice Address - Phone:951-438-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019117363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily