Search › Pennsylvania › 363LA2100X
Sean Deiter, CRNP
NPI 1902411721 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3619 Gypsy Ln
Philadelphia, PA 19129 - Phone
- (215) 510-8514
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania