GINNA ELIZABETH DEITRICK

PHILADELPHIA, PA
NPI1790961480
Former NameGINNA ELIZABETH SYLVANUS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: PA  SP009820)
Additional Taxonomies163WX0200X Registered Nurse, Oncology
(Licence: PA  RN556396)
Enumeration Date2008-01-14
Last Update Date2019-08-15
Business Address
Mrs. GINNA ELIZABETH DEITRICK CRNP
3400 SPRUCE STREET INTERVENTIONAL RADIOLOGY
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-3005
Mailing Address
Mrs. GINNA ELIZABETH DEITRICK CRNP
3400 SPRUCE STREET
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-3005