Provider Demographics
NPI:1881027050
Name:BUPTE, DELIA DANIELA (RN)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:DANIELA
Last Name:BUPTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11696 CARLY CT
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-5984
Mailing Address - Country:US
Mailing Address - Phone:951-359-4763
Mailing Address - Fax:951-359-4763
Practice Address - Street 1:11696 CARLY CT
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-5984
Practice Address - Country:US
Practice Address - Phone:951-359-4763
Practice Address - Fax:951-359-4763
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA554219163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse