National Provider Identifier
Cecilia Tetzlaff, NP
Cecilia Tetzlaff, NP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 257-2188.
Profile Overview
- NPI
- 1215683420
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- February 25, 2022
- Last Updated
- February 25, 2022
Practice Location
- 10 Graham RD W
- Ithaca, NY 14850-1055
Phone: (607) 257-2188
Mailing Address
- 700 Warren RD Apt 25-1E
- Ithaca, NY 14850-1246
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1215683420
- Entity Type
- Individual
- Last Name
- Tetzlaff
- First Name
- Cecilia
- Credential
- NP
- Mailing Street Address
- 700 Warren RD Apt 25-1E
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1246
- Mailing Country
- US
- Mailing Phone
- (281) 740-6488
- Practice Street Address
- 10 Graham RD W
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1055
- Practice Country
- US
- Practice Phone
- (607) 257-2188
- Enumeration Date
- February 25, 2022
- Last Updated
- February 25, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X), Pediatric Nurse Practitioner (363LP0200X)