Healthcare Provider Details

I. General information

NPI: 1194655365
Provider Name (Legal Business Name): KITTY DUPREE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34100 THISTLEWOOD AVE
MURRIETA CA
92563-7487
US

IV. Provider business mailing address

34100 THISTLEWOOD AVE
MURRIETA CA
92563-7487
US

V. Phone/Fax

Practice location:
  • Phone: 951-972-0075
  • Fax:
Mailing address:
  • Phone: 951-972-0075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95039635
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: