Deborah A Kanobel, APN
Nurse Practitioner in Long Branch, NJ. Individual provider (NPI-1).
NPI number1154533701
StatusActive
Last updated in NPPESApr 22, 2024
Details
- NPI
- 1154533701
- Entity type
- Individual (NPI-1)
- Name
- Deborah A Kanobel
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2007
- Certification date
- Apr 22, 2024
- Last updated
- Apr 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NN07147900 | NJ | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 26NN07147900 | NJ |
Practice location
300 Second AveLong Branch, NJ 07740
Phone 732-923-5200
Mailing address
82 Stevenson DrMarlboro, NJ 07746-2725
Phone 732-303-9959
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