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NPI Code Detail

MEDICARE: DEBORA ESTEFANNY LA TORRE APN

MEDICARE: DEBORA ESTEFANNY LA TORRE APN
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
1363LF0000XFamily Nurse Practitioner26NJ00738100NJ
2363L00000XNurse Practitioner26NJ00738100NJ

General Provider Information

NPI Number : 1871023168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORA ESTEFANNY LA TORRE APN
Provider Business Mailing Address
First Line : 714 1ST ST
Second Line :
City : LYNDHURST
State : NJ
Zip : 07071-2906
Country : US
Telephone Number : 973-590-6533
Fax Number :
Provider Business Practice Location Address
First Line : 24-12 FAIR LAWN AVE
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-3401
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2017
Last Update Date : 12/18/2025

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Directions to “ DEBORA ESTEFANNY LA TORRE APN” Practice Location

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