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TARA DEITRICK

Certified Registered Nurse Anesthetist

NPI: 1497855704IndividualAccepts Medicare

Specialties, Licenses & Credentials

Certified Registered Nurse AnesthetistPrimary

Nurse Anesthetist, Certified Registered

Code: 367500000X

9330(NY)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 1980

Contact & Hours

Address
259 1ST ST
MINEOLA, NY 11501

Quick Facts

NPI
1497855704
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
46

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