Healthcare Provider Details

I. General information

NPI: 1831456441
Provider Name (Legal Business Name): PREETI NORONHA CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24226 SUNNYMEAD BLVD
MORENO VALLEY CA
92553-7739
US

IV. Provider business mailing address

27431 SAN BERNARDINO AVE APT 223
REDLANDS CA
92374-5085
US

V. Phone/Fax

Practice location:
  • Phone: 951-601-6802
  • Fax:
Mailing address:
  • Phone: 404-921-4431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberNP95032509
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberRN205009
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: