Individual provider · Type 1 NPI
Derek Ryan Duttry
Critical Care Medicine Registered Nurse · Danville, PA
NPI number
1184406175
Active
Practice location
100 N Academy Ave
Danville, PA 17822-0001
Mailing address
833 5th St
Danville, PA 17821-7661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 210151454 (PA) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1184406175
Derek Ryan Duttry's National Provider Identifier is 1184406175, issued on Oct 16, 2023. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Danville, PA. The record was last updated on Oct 16, 2023.