MEDICARE: DEBORAH LEE SALTMARSH NURSE PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	26NN09577400	NJ

General Provider Information

NPI Number	:	1033302757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH LEE SALTMARSH NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	224 OCEAN ST
Second Line	:
City	:	BEACH HAVEN
State	:	NJ
Zip	:	08008-1628
Country	:	US
Telephone Number	:	609-709-1144
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 OCEAN ST
Second Line	:
City	:	BEACH HAVEN
State	:	NJ
Zip	:	08008-1628
Country	:	US
Telephone Number	:	609-709-1144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2007
Last Update Date	:	08/27/2007

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