Individual provider · Type 1 NPI
Debra Roma-Distefano, APN
Women's Health Nurse Practitioner · West New York, NJ
NPI number
1306810213
Active
Practice location
5301 Broadway
West New York, NJ 07093-2622
Mailing address
23 Parker Ct
South Amboy, NJ 08879-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 26NN07052100 (NJ) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1306810213
Debra Roma-Distefano, APN's National Provider Identifier is 1306810213, issued on Feb 15, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in West New York, NJ. The record was last updated on Jul 13, 2007.