Healthcare Provider Details

I. General information

NPI: 1548582760
Provider Name (Legal Business Name): DEBBIE ANN MUZONES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2010
Last Update Date: 02/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 S BROADWAY
CAMDEN NJ
08103-1209
US

IV. Provider business mailing address

7 WINESAP CT
SEWELL NJ
08080-3031
US

V. Phone/Fax

Practice location:
  • Phone: 856-365-3519
  • Fax: 856-963-2185
Mailing address:
  • Phone: 856-863-8810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NO11592300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: