Individual
DEBORAH EID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
401 HAMBURG TPKE STE 302, WAYNE, NJ 07470-2139
(973) 790-9222
Mailing address
143 KIEL AVE, KINNELON, NJ 07405-2543
(973) 580-3353
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14905700
NJ
Other
Enumeration date
11/07/2022
Last updated
09/08/2023
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