Individual provider · Type 1 NPI

Ginna Elizabeth Deitrick, CRNP

Adult Health Nurse Practitioner · Philadelphia, PA

NPI number 1790961480 Active

Practice location

3400 Spruce Street, Interventional Radiology
Philadelphia, PA 19104-4206

Specialties and licenses

TaxonomyCodeLicense
Oncology Registered Nurse 163WX0200XRN556396 (PA)
Adult Health Nurse Practitioner Primary 363LA2200XSP009820 (PA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1790961480

Ginna Elizabeth Deitrick, CRNP's National Provider Identifier is 1790961480, issued on Jan 14, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 15, 2019.