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NPI Code Detail

MEDICARE: MEGHAN CASEY DEITZ BSN RN CPEN

MEDICARE: MEGHAN CASEY DEITZ BSN RN CPEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN804382PA

General Provider Information

NPI Number : 1063368116
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN CASEY DEITZ BSN RN CPEN
Provider Business Mailing Address
First Line : 701 MARTHA AVE APT 3111
Second Line :
City : LANCASTER
State : PA
Zip : 17601-4673
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 UNIVERSITY DR
Second Line :
City : HERSHEY
State : PA
Zip : 17033-2360
Country : US
Telephone Number : 800-243-1455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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