Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Ginna Elizabeth Deitrick, CRNP

Individual provider Oncology Registered Nurse · NPI 1790961480

Mrs. Ginna Elizabeth Deitrick, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Graduated from Perelman School of Med at the University of Pennsylvania in 2007, 19 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
19
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3400 Spruce Street Interventional Radiology
Philadelphia, PA 19104-4206
Phone: (215) 662-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP009820 (PA)
Oncology Registered Nurse Taxonomy 163WX0200X · Licence RN556396 (PA)

Record details

NPI number1790961480
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 14, 2008
Last updated in NPPESAugust 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2007 (19 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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