Individual
MICHELE DEITERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
169 MARTIN AVE, EPHRATA, PA 17522-1724
(717) 733-0311
(717) 721-5861
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN296687L
PA
Other
Enumeration date
01/28/2014
Last updated
05/15/2025
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