IndividualActive
Krista Detetta, RN
NPI 1073264750 · Emergency Registered Nurse · Bridgeton, NJ
Provider details
- NPI number
- 1073264750
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 26NR17438200 (NJ)
Specialties & taxonomies
Nursing Service Providers
Practice location
11 Randolph Rd
Bridgeton, NJ 08302-3845
Phone: (856) 558-0630
Approximate (ZIP-level) locationGet directions
Mailing address
11 Randolph Rd
Bridgeton, NJ 08302-3845
Registry dates
- Enumerated
- 2022-01-13
- Last updated
- 2022-01-13
- Certified
- 2022-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.