Individual provider · Type 1 NPI
Matthew R. Dering, CRNP
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1972923779
Active
Practice location
51 N 39th St, Penn Heart & Vascular Pavilion Suite 420
Philadelphia, PA 19104-2640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ00492500 (NJ) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP013905 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1972923779
Matthew R. Dering, CRNP's National Provider Identifier is 1972923779, issued on Apr 18, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 27, 2015.