Individual
TRISHA E MORICETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 948-1018
Mailing address
13038 130TH ST, JAMAICA, NY 11420-3410
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
646478
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
646478
NY
Other
Enumeration date
07/10/2020
Last updated
02/28/2024
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