CECILIA TETZLAFF NP
NPI 1215683420
Nurse Practitioner - Pediatrics in Ithaca, NY

Active since February 25, 2022
10 GRAHAM RD W, ITHACA, NY 14850(607) 257-2188 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cecilia Tetzlaff Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CECILIA TETZLAFF NP (NPI 1215683420) is an individual pediatrics provider in Ithaca, New York, licensed in New York (F383372) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1215683420
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCECILIA TETZLAFFCredential: NP
Location Address10 GRAHAM RD WIthaca, NY 14850-1055
Mailing Address700 Warren Rd Apt 25-1eIthaca, NY 14850-1246 · (281) 740-6488
Sole ProprietorNo
Enumeration DateFebruary 25, 2022
NPPES CertifiedJanuary 11, 2022
NPI 1215683420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in NY · F383372 Licensed in TX · AP145008 Licensed in CO · C-APN.0002392-C-NP
10 GRAHAM RD W, Ithaca, NY 14850

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
10 GRAHAM RD W
ITHACA, NY 14850
Pediatrics
10 GRAHAM RD W
ITHACA, NY 14850
Social Worker
10 GRAHAM RD W
ITHACA, NY 14850
Pediatrics
10 GRAHAM RD W
ITHACA, NY 14850
Pediatrics
10 GRAHAM RD W
ITHACA, NY 14850
Nurse Practitioner (Family)
10 GRAHAM RD W
ITHACA, NY 14850
Nurse Practitioner (Pediatrics)
10 GRAHAM RD W
ITHACA, NY 14850
Pediatrics
10 GRAHAM RD W
ITHACA, NY 14850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cecilia Tetzlaff's NPI number?

The NPI number for Cecilia Tetzlaff is 1215683420. It was assigned to this individual provider in the NPPES registry on February 25, 2022.

Where is Cecilia Tetzlaff located?

Cecilia Tetzlaff practices at 10 Graham Rd W, Ithaca, NY 14850. The listed phone number is (607) 257-2188.

What is Cecilia Tetzlaff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Cecilia Tetzlaff was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.