Provider Demographics
NPI:1700073517
Name:WHITE, KRISTI ALEXANDRA (RN)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:ALEXANDRA
Last Name:WHITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23605 VIA CALZADA
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-3627
Mailing Address - Country:US
Mailing Address - Phone:949-855-3958
Mailing Address - Fax:
Practice Address - Street 1:23605 VIA CALZADA
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-3627
Practice Address - Country:US
Practice Address - Phone:949-855-3958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA563634163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant