Healthcare Provider Details

I. General information

NPI: 1083997621
Provider Name (Legal Business Name): DAVID DIRITO CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 10/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF ANESTHESIOLOGY N2198 UNC HOSPITALS CB# 7010
CHAPEL HILL NC
27599-7010
US

IV. Provider business mailing address

PO BOX 271647 UNC FP
SALT LAKE CITY UT
84127-1647
US

V. Phone/Fax

Practice location:
  • Phone: 984-971-5232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number219745
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: