Dorothy L Petracci, CRNA
Nurse Anesthetist, Certified Registered in Marlton, NJ. Individual provider (NPI-1).
NPI number1790778702
StatusActive
Last updated in NPPESFeb 13, 2009
Details
- NPI
- 1790778702
- Entity type
- Individual (NPI-1)
- Name
- Ms. Dorothy L Petracci
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2005
- Last updated
- Feb 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NR40342 | NJ | Yes |
Practice location
401 Route 73 N40 Lake Center Drive Suite 201b
Marlton, NJ 08053-3425
Phone 856-355-0312 · Fax 856-355-0353
Mailing address
401 Route 73 N40 Lake Center Drive Suite 201b
Marlton, NJ 08053-3425
Phone 856-355-0312 · Fax 856-355-0353
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All 27 Certified Registered Nurse Anesthetist providers in Marlton · All 2,303 providers in Marlton
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