Provider Demographics
NPI:1073301552
Name:SPENCER, MARIA CRISTINA DE VEGA (FNP)
Entity type:Individual
Prefix:
First Name:MARIA CRISTINA
Middle Name:DE VEGA
Last Name:SPENCER
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37550 CALLE DE COMPANERO
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-7134
Mailing Address - Country:US
Mailing Address - Phone:760-585-6188
Mailing Address - Fax:
Practice Address - Street 1:27403 YNEZ RD STE 108
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4619
Practice Address - Country:US
Practice Address - Phone:760-585-6188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95090994163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology