Tetzlaff, Cecilia

Tetzlaff, Cecilia is an individual health care provider with primary practice located at 10 Graham Rd W , Ithaca NY 14850-1055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tetzlaff, Cecilia can be contacted via phone (607) 257-2188.

Contact Information

Primary practice address
10 Graham Rd W Ithaca NY 14850-1055
Phone: (607) 257-2188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP145008 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C-APN.0002392-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F383372 New York

Profile Details

NPI number 1215683420
LBN Legal business name Tetzlaff, Cecilia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2022
Last updated Feb 25th, 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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