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Individual

MS. DEBORAH LYNN HALLQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MSN, CRNP, RNFA

Contact information

Practice address
1 UNIVERSITY MEWS, PHILADELPHIA, PA 19104-4756
(215) 823-5800
(215) 823-4309
Mailing address
308 CLEMENTS BRIDGE RD, BARRINGTON, NJ 08007-1808
(215) 823-5800
(215) 823-4309

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN113311
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NN113311
NP LICENSE NUMBER
NJ
Enumeration date
08/22/2006
Last updated
07/08/2007
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