DR. Laurel Ann Dettore, DNSC, MS, RN

NPI #1689929879 in Berwyn, Illinois

Provider Information

NPI Number
1689929879
Entity Type
Individual
Name
DR. Laurel Ann Dettore, DNSC, MS, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Community Health
Credential
DNSC, MS, RN
Enumeration Date
Jul 13, 2012
Last Updated
Jul 13, 2012

Practice Location

Address
6827 STANLEY AVE
City
Berwyn
ZIP Code
60402-3287
Phone
(708) 795-1520

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Community HealthCommunity Health

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