Provider Demographics
NPI:1033535703
Name:BADER, DEBORAH MARIE (APN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MARIE
Last Name:BADER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1443 OTTAWA CT
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2962
Mailing Address - Country:US
Mailing Address - Phone:732-522-4868
Mailing Address - Fax:732-255-5659
Practice Address - Street 1:1443 OTTAWA CT
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2962
Practice Address - Country:US
Practice Address - Phone:732-522-4868
Practice Address - Fax:732-255-5659
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-05
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00473300363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner