Provider Demographics
NPI:1093441040
Name:DELA RIMA, MARIA ANGELA (NP)
Entity Type:Individual
Prefix:
First Name:MARIA ANGELA
Middle Name:
Last Name:DELA RIMA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 SAN MIGUEL DR STE 204
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4913
Mailing Address - Country:US
Mailing Address - Phone:925-300-9741
Mailing Address - Fax:
Practice Address - Street 1:1844 SAN MIGUEL DR STE 204
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4913
Practice Address - Country:US
Practice Address - Phone:925-744-0990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-30
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022614363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily