Individual provider · Type 1 NPI
Debora Ivy Sanderson, FNP-C
Family Nurse Practitioner · Socorro, NM
NPI number
1427044288
Active
Practice location
1300 Enterprise Rd.
Socorro, NM 87801
Mailing address
29212 US 127
Pikeville, TN 37367-4450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP114027 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | CNP231074 (ME) |
| Family Nurse Practitioner | 363LF0000X | 65006 (NM) |
Family Nurse Practitioner: Definition to come...
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About NPI 1427044288
Debora Ivy Sanderson, FNP-C's National Provider Identifier is 1427044288, issued on Sep 26, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Socorro, NM. The record was last updated on Aug 16, 2024.