Individual
BRITTANY LAUREN DEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0254
(352) 273-8610
Mailing address
PO BOX 8500, PINEHURST, NC 28374-8500
(910) 715-1000
(910) 715-1926
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
245806
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9476925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023829300
—
FL
Enumeration date
07/24/2015
Last updated
03/20/2018
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