DEBRA FENDERSON-IVERY

NASPAC1 LLC

Dr DEBRA FENDERSON-IVERY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.

Contact

NASPAC1 LLC

404 CREEK CROSSING BLVD
HAINESPORT
NJ
080362768

Tel: 6098453988

DEBRA FENDERSON-IVERY Information

Npi 1902306624
Pac Id 2163786674
Professional Enrollment Id I20180509003011
Last Name FENDERSON-IVERY
First Name DEBRA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NASPAC1 LLC
Group Practice Pac Id 1355563404
Number Of Group Practice Members 14
Line 1 Street Address 404 CREEK CROSSING BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HAINESPORT
State NJ
Zip Code 080362768
Phone Number 6098453988
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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