Provider Demographics
NPI:1023041704
Name:MONTOPOLI, DELIA CARMEN (NP, CNM)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:CARMEN
Last Name:MONTOPOLI
Suffix:
Gender:F
Credentials:NP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 W 24TH ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6123
Mailing Address - Country:US
Mailing Address - Phone:928-726-5950
Mailing Address - Fax:928-726-3797
Practice Address - Street 1:2060 W 24TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6123
Practice Address - Country:US
Practice Address - Phone:928-726-5950
Practice Address - Fax:928-726-3797
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN093877176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
1962507376OtherCLINIC NPI
1063433720OtherCLINIC NPI
1245344316OtherCLINIC NPI
AZ372821Medicaid
1043324932OtherCLINIC NPI
031805Medicare Oscar/Certification
1043324932OtherCLINIC NPI
S31303Medicare UPIN
1063433720OtherCLINIC NPI
AZ372821Medicaid
AZZ21113Medicare PIN
1962507376OtherCLINIC NPI
AZZ21130Medicare PIN
AZZ21490Medicare PIN
031822Medicare Oscar/Certification
AZZ21115Medicare PIN
031822Medicare Oscar/Certification