Individual provider · Type 1 NPI

Tara Deitrick

Certified Registered Nurse Anesthetist · Mineola, NY

NPI number 1497855704 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Fax (516) 741-8276

Mailing address

17 Kenwood Rd
Garden City, NY 11530-3034

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X9330 (NY)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1497855704

Tara Deitrick's National Provider Identifier is 1497855704, issued on Sep 25, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Mineola, NY. The record was last updated on Nov 29, 2017.