Individual
DONALD P DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-330494-L
PA
367500000X
Certified Registered Nurse Anesthetist
084384
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
223567
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027802620001
—
PA
01
—
12027205
CAQH
PA
01
—
131519
GEISINGER
PA
01
—
1586736
GATEWAY
PA
01
—
2141989
HIGHMARK
PA
01
—
3759078000
IBC
PA
01
—
50090192
CAPITAL ADVANTAGE
PA
01
—
9569435
AETNA
PA
Enumeration date
12/17/2009
Last updated
06/08/2022
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