Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA DEITRICK
ActiveTARA DEITRICK is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MINEOLA, New York. NPI 1497855704 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · MINEOLA, NY
Registration Details
- NPI Number
- 1497855704
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2006 (19.896036654895 yrs)
- Last Updated
- Nov 29, 2017
- License
-
9330 (NY)
Practice Information
- Address
-
259 1ST STMINEOLA, NY, 115013957Browse NY providers · Browse ZIP 11501
- Phone
- 5167410570
- Fax
- 5167418276
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in MINEOLA, NY
| Name | Credential | NPI |
|---|---|---|
| MR. FRANK JOSEPH DAUGHERTY | CRNA | 1790714152 |
| TERRENCE MCDONOUGH | — | 1174623326 |
| EDWARD MCDONNELL | — | 1225138571 |
| JOAN SILKE | — | 1518068675 |
| MAUREEN CURTIN | — | 1629178918 |
| SUSAN FACKELMAN | — | 1437259777 |
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.