Provider Demographics
NPI:1841331766
Name:SELM-ORR, DEBORAH LYNN (APRN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:SELM-ORR
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-2405
Mailing Address - Country:US
Mailing Address - Phone:609-227-2400
Mailing Address - Fax:
Practice Address - Street 1:56 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-2405
Practice Address - Country:US
Practice Address - Phone:609-227-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC06500400363L00000X
CT7444364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner