Provider Demographics
NPI:1720192297
Name:DRUMM, DEBORAH MARIE (APN,BC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:MARIE
Last Name:DRUMM
Suffix:
Gender:F
Credentials:APN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 76
Mailing Address - Street 2:919 MAIN STREET
Mailing Address - City:STILLWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07875-0076
Mailing Address - Country:US
Mailing Address - Phone:973-579-9394
Mailing Address - Fax:973-579-9392
Practice Address - Street 1:55 NEWTON SPARTA RD
Practice Address - Street 2:SUITE 104
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2772
Practice Address - Country:US
Practice Address - Phone:973-579-9394
Practice Address - Fax:973-579-9392
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN04737300363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ043879Medicare PIN
NJP19437Medicare UPIN