Individual
MS. TARA A. PEZZUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1600 ROCKLAND RD, ALFRED I. DUPONT HOSPITAL FOR CHILDREN, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0001488
DE
363L00000X
Nurse Practitioner
L10026764
DE
Other
Enumeration date
07/24/2008
Last updated
10/25/2011
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