# DEBORAH LEE KLANCHAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437678596
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 26NJ00765100 | NJ | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 26NR13517200 | NJ | — |

## Other

- **Enumeration date:** 09/11/2017
- **Last updated:** 05/06/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 26NR13517200 | STAT OF NEW JERSEY OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS | NJ |
| 01 | — | RN609518 | COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE | PA |