Desiree E Kotarba CRNA

NPI 1013939966 - Registered Nurse - 163W00000X

NPI Details
NPI 1013939966
Gender Female
Enumeration Date 07/23/2006
Last Updated 02/24/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
51 N 39TH ST
PHILADELPHIA PA, 19104, US
Phone (215) 662-8000
Fax
Business Location
51 N 39TH ST
PHILADELPHIA PA, 19104-2640, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Pennsylvania
License Number RN516097L
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According to our database, Desiree E Kotarba CRNA NPI is 1013939966, taxonomy code is 163W00000X and license number is RN516097L, license state is located at Pennsylvania. Desiree E Kotarba CRNA physically located at 51 N 39th St, Philadelphia PA, 19104. NPI Number Desiree E Kotarba CRNA has the Individual type.

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1013939966 NPI number is provided on an as is basis without warranty of any kind. 1013939966 is maintained by the National Plan & Provider Enumeration System. The contents of Desiree E Kotarba CRNA are for informational purposes only.