Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00530100 | NJ |
N | 363LA2200X | Nurse Practitioner - Adult Health | LB-0000292 | DE |
NPI | 1023410552 |
---|---|
Provider Name | Debbie Orr |
First Address | Camden, NJ 08103-1088 |
Second Address | Camden, NJ 08103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2014 |
Last Update Date | 09/07/2019 |