Individual provider · Type 1 NPI
Krista M. Detetta, RN
Emergency Registered Nurse · Bridgeton, NJ
NPI number
1073264750
Active
Practice location
11 Randolph Rd
Bridgeton, NJ 08302-3845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 26NR17438200 (NJ) |
Emergency Registered Nurse: Definition to come...
About NPI 1073264750
Krista M. Detetta, RN's National Provider Identifier is 1073264750, issued on Jan 13, 2022. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Bridgeton, NJ. The record was last updated on Jan 13, 2022.