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Contact Information

MATTHEW J DELUCA, CRNA
400 W 16TH ST, PUEBLO
PUEBLO, CO81003
 Phone: 719-584-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MATTHEW J DELUCA · (Male)

NPI Number 1689339376
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 11/08/2021
Last updated 12/01/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 328950
  • CO License # APN.0997148-CRNA
Hospital affiliation(s)
  • PARKVIEW MEDICAL CENTER INC - (Acute Care)
    400 W 16TH STREET
    PUEBLO, CO 81003
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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