Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY JOSEPH STUPAR, REGISTERED NURSE
ActiveMR. JERRY JOSEPH STUPAR, REGISTERED NURSE is a Substance Abuse Psychiatric Nurse healthcare provider located in GRANADA HILLS, California. NPI 1770641607 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · GRANADA HILLS, CA
Registration Details
- NPI Number
- 1770641607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.732773965726 yrs)
- Last Updated
- Jul 8, 2007
- License
-
613194 (CA)
Practice Information
- Address
-
10605 BALBOA BLVD STE 100GRANADA HILLS, CA, 913446367Browse CA providers · Browse ZIP 91344
- Phone
- 8183660325
- Fax
- 8183638951
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
Other Substance Abuse Psychiatric Nurse Providers in GRANADA HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| MR. BERNARD BEGONIA | RN | 1841362845 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.