Individual
BARBARA M DEZAYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BUILDING, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN318818L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053743EJL
MEDICARE PTAN
PA
Enumeration date
06/13/2006
Last updated
04/20/2020
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