Individual
MS. DEBRA VINCENZA CANALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN RN FNP-BC
Contact information
Practice address
128 ROUTE 70 STE 1, MEDFORD, NJ 08055-2371
(609) 234-6543
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00867600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0709395
—
NJ
Enumeration date
05/24/2019
Last updated
11/22/2024
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