Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN K RETZLAFF DEITRICK, PA-C
ActiveSUSAN K RETZLAFF DEITRICK, PA-C is a Physician Assistant healthcare provider located in GRAND ISLAND, Nebraska. NPI 1912907981 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRAND ISLAND, NE
Registration Details
- NPI Number
- 1912907981
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2005 (21.003013687924 yrs)
- Last Updated
- Feb 14, 2020
- License
-
829 (NE)
Practice Information
- Address
-
418 N WEBB RDGRAND ISLAND, NE, 688034045Browse NE providers · Browse ZIP 68803
- Phone
- 3083821100
- Fax
- 3083850796
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRAND ISLAND, NE
| Name | Credential | NPI |
|---|---|---|
| LAURA A FOX | PA-C | 1023078425 |
| JOHN CALVIN RUSSELL | PA | 1275584070 |
| MR. RICHARD K WAGGONER | P.A.-C | 1386698835 |
| MS. JEANNE M ROSS-MUHLBACH | P.A.-C | 1477507986 |
| MR. ALAN BAUMGARDNER | PA-C | 1255377818 |
| JON C MONK | PA | 1760417224 |
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.