MEDICARE: MS. DEBRA JEAN DRUCE C.N.M.

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	367A00000X	Advanced Practice Midwife	25ME00018801	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245297423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBRA JEAN DRUCE C.N.M.

Provider Business Mailing Address
First Line	:	89 KNOLLWOOD DR
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-5231
Country	:	US
Telephone Number	:	201-638-0813
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 MIDLAND AVE
Second Line	:
City	:	GARFIELD
State	:	NJ
Zip	:	07026-1658
Country	:	US
Telephone Number	:	973-340-1182
Fax Number	:	973-340-1371

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

Provider Enumeration Date	:	04/30/2006
Last Update Date	:	03/20/2013

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