SEAN ARTHUR DEITER (NPI# 1902411721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902411721 |
Entity Type | Individual |
Full Name | SEAN ARTHUR DEITER |
Credential | CRNP |
Practice Address |
3619 Gypsy Ln Philadelphia PA 19129-1612 |
Practice Telephone | 2155108514 |
Mailing Telephone | 2155108514 |
Enumeration Date | 2020-09-09 |
Last Update Date | 2020-09-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP021952 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3619 GYPSY LN |
City | PHILADELPHIA |
State | PA |
Zip Code | 19129-1612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982243754 | Margaret Brown | Social Worker | Sherman Mills 3502 Scott's Lane, Building 16, Philadelphia, PA 19129 | 2019-12-27 |
1518325760 | Care365 Inc | Case Management | 3507 Scotts Ln, Ste. 1923, Philadelphia, PA 19129 | 2016-02-03 |
1144698408 | Raymond C Nwaneri | Nurse Practitioner | 3301 Scotts Lane, Haven Behavioral Hospital, Philadelphia, PA 19129 | 2015-09-03 |
1659748432 | Donna S. Wolf | Social Worker | 3302 Tilden Street, Philadelphia, PA 19129 | 2015-08-27 |
1891066619 | Melissa Sayer | Advanced Practice Midwife | 2450 W. Hunting Park Ave, Temple University Health System, Philadelphia, PA 19129 | 2012-01-25 |
1154604007 | Keystone Psychological Associates | Clinic/Center | 3502 Scotts Lane, Building 1 Suite 114, Philadelphia, PA 19129 | 2011-09-27 |
1174754618 | Clarence B Iszard Jr. | Counselor | 3246 North Bailey Street, Philadelphia, PA 19129 | 2009-07-31 |
1487816708 | St.chris Care At Northeast Pediatrics, LLC | Pediatrics | One Falls Center, 3300 Henry Avenue, 4th Floor, Philadelphia, PA 19129 | 2008-06-27 |
1740400845 | Sharon L. Young | Psychologist | 3205 Defense Terrace, Abbottsford Family Practice & Counseling, Philadelphia, PA 19129 | 2007-04-30 |
1043355621 | Donald Herman Silverman | Dentist | 3405 Warden Drive, Philadelphia, PA 19129 | 2007-02-21 |
Find all providers in zip 19129 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496575 | Albert Abbo | Nurse Practitioner | 801 Spruce St Fl 3, Philadelphia, PA 19107-5701 | 2020-10-30 |
1972117687 | Christopher Brian Cox | Nurse Practitioner | 4527 Kingsessing Ave Fl 1, Philadelphia, PA 19143-3712 | 2020-09-01 |
1053949081 | Anna Sorci | Nurse Practitioner | 5401 Old York Rd # Klein300, Philadelphia, PA 19141-3030 | 2020-03-27 |
1629611488 | Shane M Hafer | Nurse Practitioner | 3600 Civic Center Blvd Fl 3, Philadelphia, PA 19104-4310 | 2019-10-24 |
1184272262 | Judy Linh | Nurse Practitioner | 901 Glenview St, Philadelphia, PA 19111-4420 | 2019-08-31 |
1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
1942777909 | Jessica Lynn Goins | Nurse Practitioner | 111 S 11th St Bldg 934, Philadelphia, PA 19107-4824 | 2018-10-29 |
1891201968 | Stefanie Rashti | Nurse Practitioner | 1015 Walnut St Ste 401, Philadelphia, PA 19107-5005 | 2017-12-27 |
1780074336 | Bridget Gibson | Nurse Practitioner | 1522 E Susquehanna Ave, Philadelphia, PA 19125-2921 | 2015-02-03 |
1700295912 | Ellen Santella | Nurse Practitioner | 230 W Washington Sq Fl 3, Farm Journal Building, Philadelphia, PA 19106-3500 | 2014-08-13 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19129 |
Please comment or provide details below to improve the information on SEAN ARTHUR DEITER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.