Provider Demographics
NPI:1396046405
Name:BELTRAN, OFELIA AQUINO (RN)
Entity type:Individual
Prefix:MRS
First Name:OFELIA
Middle Name:AQUINO
Last Name:BELTRAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:OFELIA
Other - Middle Name:AQUINO
Other - Last Name:BELTRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:10810 CONNECTICUT AVE
Mailing Address - Street 2:KAISER PERMANENTE
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895
Mailing Address - Country:US
Mailing Address - Phone:301-929-7543
Mailing Address - Fax:301-929-7461
Practice Address - Street 1:10810 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2138
Practice Address - Country:US
Practice Address - Phone:301-929-7543
Practice Address - Fax:301-929-7461
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR055352163W00000X, 163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care