Healthcare Provider Details

I. General information

NPI: 1891630778
Provider Name (Legal Business Name): FLORENCE VINCENT WHYTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 W REDLANDS BLVD
REDLANDS CA
92373-8054
US

IV. Provider business mailing address

25612 BARTON RD
LOMA LINDA CA
92354-3110
US

V. Phone/Fax

Practice location:
  • Phone: 909-735-2446
  • Fax:
Mailing address:
  • Phone: 909-327-8997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95038891
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: