Doctor Name: | DEBORAH J LARMER |
NPI Number: | 1639388556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L, NP |
License Number: | 26NJ00580900 |
Business Practice Address: | 445 Beech Ave Woodbury Heights, NJ - 080971318 |
Business Phone Number: | 8565794355 |
Business Fax Number: | |
Mailing Address: | 445 Beech Ave, WOODBURY HEIGHTS |
State: | NJ |
Postal Code: | 080971318 |
Phone Number: | 8565794355 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 26NJ00580900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |