Individual
DEBORAH ANDREA BOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1945 NJ-33, NEPTUNE, NJ 07753
(631) 742-3039
Mailing address
PO BOX 295, AVON BY THE SEA, NJ 07717-0295
(631) 742-3039
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
26NR07067200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NR07067200
NEW JERSEY STATE BOARD OF NURSING LICENSURE RN
NJ
Enumeration date
10/03/2019
Last updated
10/03/2019
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