Individual
TRICIA J. DEHAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1235 WHITEHORSE MERCERVILLE RD, BUILDING C, SUITE 310, HAMILTON, NJ 08619-3810
(609) 581-6610
Mailing address
PO BOX 8544, HAMILTON, NJ 08650-0544
(201) 804-2800
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR08562200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084959
CRNA
NJ
01
—
186422
MEDICARE
NJ
01
—
26NR08562200
STATE LICENSE
NJ
Enumeration date
07/08/2010
Last updated
07/03/2013
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