IndividualActive
Derek Duttry
NPI 1184406175 · Critical Care Medicine Registered Nurse · Danville, PA
Provider details
- NPI number
- 1184406175
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 210151454 (PA)
Specialties & taxonomies
Nursing Service Providers
Practice location
100 N Academy Ave
Danville, PA 17822-0001
Phone: (570) 271-6211
Approximate (ZIP-level) locationGet directions
Mailing address
833 5th St
Danville, PA 17821-7661
Registry dates
- Enumerated
- 2023-10-16
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.