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Contact Information

MINNA R DELUCA, NP
102 DUNHLL PLACE
CLEVELAND, TN37311
 Phone: 423-925-1105
 Fax: 423-244-0617
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MINNA R DELUCA · (Female)

NPI Number 1114397304
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/30/2015
Last updated 05/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 20508
  • TN Medicaid Q018240
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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