TARA DEITRICK
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1497855704
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | 9330 (NY) |
Frequently Asked Questions
NPI 1497855704 is the National Provider Identifier for TARA DEITRICK, a Nurse Anesthetist, Certified Registered provider located in Mineola, NY. This NPI was enumerated on September 25, 2006.
TARA DEITRICK practices at 259 1ST ST, Mineola, NY 11501.
Quick Facts
- NPI
- 1497855704
- Type
- Individual
- Enumerated
- Sep 25, 2006
- Last Updated
- Nov 29, 2017
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