Individual
MRS. ELIZABETH MARY UPPULURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, CNM
Contact information
Practice address
1353 OLD TEMESCAL RD STE 103, CORONA, CA 92881-7257
(951) 547-4208
Mailing address
27 ZABILA ST, RANCHO MISSION VIEJO, CA 92694-1823
(949) 449-6505
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
NMW235982
CA
363LW0102X
Women's Health Nurse Practitioner
NP95010427
CA
Other
Enumeration date
03/20/2019
Last updated
07/24/2023
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