Active NPIIndividual provider

Ashley R Dettra, MSN, RN, CCRN, NP-C

Nurse Practitioner, Gerontology in Oakland, New Jersey

NPI Number1831764794
Practice location
43 Yawpo Ave Ste 3, Oakland, NJ 07436-2717
Fax
—
Last updated
October 19, 2023

Ashley Rinaldi Dettra is a Nurse Practitioner, Gerontology based in Oakland, NJ. Ashley Rinaldi Dettra practices in Oakland, NJ and has the professional credentials of MSN, RN, CCRN, NP-C. The NPI Number for Ashley Rinaldi Dettra is 1831764794 and holds a License No. 26NJ01153600 (NJ). The current practice location address for Ashley Rinaldi Dettra is 43 Yawpo Ave Ste 3, Oakland, NJ 07436-2717 and can be reached out via phone at 201-337-0066.

Provider Profile Details

NPI Number
1831764794
Provider Name
Ashley Rinaldi Dettra
Credential
MSN, RN, CCRN, NP-C
Provider Entity Type
Individual
Gender
Female
Address
43 Yawpo Ave Ste 3, Oakland, NJ 07436-2717
Phone Number
201-337-0066
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2021
Last Update Date
October 19, 2023
Certification Date
October 19, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Yawpo Ave Ste 3
Oakland, NJ 07436-2717
Zip
07436-2717
Phone Number
201-337-0066
Oakland, NJ 07436Get directions →

Provider Business Mailing Address Details

Address
300 Riverfront Blvd Apt 1102
Elmwood Park, NJ 07407-1166
City
Elmwood Park
State
NJ
Zip
07407-1166
Phone Number
201-675-6046

License Information

License Number
26NJ01153600
License State
NJ
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ashley R Dettra, MSN, RN, CCRN, NP-C?

The NPI number of Ashley R Dettra, MSN, RN, CCRN, NP-C is 1831764794. It was assigned on May 24, 2021 and is currently active in the NPPES registry.

What is the specialty of Ashley R Dettra, MSN, RN, CCRN, NP-C?

Ashley R Dettra, MSN, RN, CCRN, NP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ01153600.

Where does Ashley R Dettra, MSN, RN, CCRN, NP-C practice?

The practice location is 43 Yawpo Ave Ste 3, Oakland, NJ 07436-2717. The office can be reached at 201-337-0066 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831764794 directly on the NPPES registry website.

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