Detetta, Krista M

Detetta, Krista M is an individual health care provider with primary practice located at 11 Randolph Rd , Bridgeton NJ 08302-3845. She recently has only one registered license in Nursing Service Providers / Emergency, which is considered as her primary health care specialty. Detetta, Krista M can be contacted via phone (856) 558-0630.

Contact Information

Primary practice address
11 Randolph Rd Bridgeton NJ 08302-3845
Phone: (856) 558-0630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 26NR17438200 New Jersey

Profile Details

NPI number 1073264750
LBN Legal business name Detetta, Krista M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2022
Last updated Jan 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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