Individual
MS. LIANNE MARGARET DEHNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP BC
Contact information
Practice address
1235 WHITEHORSE MERCERVILLE RD, SUITE 316 BLDG. C, MERCERVILLE, NJ 08619-3810
(609) 581-5586
(609) 581-5779
Mailing address
1235 WHITEHORSE MERCERVILLE RD, SUITE 316 BLDG. C, MERCERVILLE, NJ 08619-3810
(609) 581-5586
(609) 581-5779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
NN088588
NJ
363L00000X
Nurse Practitioner
26NN08858800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NN08858800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223709512
HORIZON
NJ
01
—
500018409
MEDICARE RAILROAD
NJ
01
—
NN088588
STATE LICENSE NUMBER
NJ
Enumeration date
12/29/2005
Last updated
12/13/2024
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