Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | RN093877 | AZ |
NPI | 1023041704 |
---|---|
Provider Name | Delia Carmen Montopoli |
First Address | Yuma, AZ 85364-6123 |
Second Address | Yuma, AZ 85364-6123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 24/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043324932 | CLINIC NPI (01) | |
1063433720 | CLINIC NPI (01) | |
1245344316 | CLINIC NPI (01) | |
1962507376 | CLINIC NPI (01) | |
372821 | (05) | AZ |
S31303 | (02) |