Doctor Name: | MS. DEBORRA M TORRES |
NPI Number: | 1437351210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNC |
License Number: | 26NJ00116000 |
Business Practice Address: | 1289 Route 38 Suite 203 Hainesport, NJ - 080362730 |
Business Phone Number: | 6092675656 |
Business Fax Number: | 6092651895 |
Mailing Address: | 1289 Route 38, Suite 203 HAINESPORT |
State: | NJ |
Postal Code: | 080362730 |
Phone Number: | 6092675656 |
Fax Number: | 6092651895 |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 01/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 26NJ00116000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |