Organization
DEBORRA M. TORRES, MSN, PMHNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORRA M TORRES MSN, PMHNP (PSYCHIATRIC NURSE PRACTITIONER)
(609) 500-4018
Entity
Organization
Contact information
Practice address
5 N MAIN ST STE A, MEDFORD, NJ 08055-2439
(609) 500-4018
(609) 388-4905
Mailing address
4 FLAGSTONE DR, SHAMONG, NJ 08088-8532
(609) 500-4018
(609) 388-4905
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00116000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29807
—
NJ
Enumeration date
09/06/2012
Last updated
09/06/2012
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