Provider Demographics
NPI:1306627559
Name:OVIEDO, MARIA DELMA GARINGARAO (RN)
Entity type:Individual
Prefix:
First Name:MARIA DELMA
Middle Name:GARINGARAO
Last Name:OVIEDO
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 1:5342 HARTONA WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1753
Mailing Address - Country:US
Mailing Address - Phone:916-521-8087
Mailing Address - Fax:
Practice Address - Street 1:7807 UPLANDS WAY
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-7500
Practice Address - Country:US
Practice Address - Phone:916-967-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95324500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty