Provider Demographics
NPI:1780973131
Name:LENTINE, DEBORAH (APN)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:LENTINE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:CECEILA
Other - Last Name:MASINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN/ CRNP-C
Mailing Address - Street 1:402 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:703 E MAIN ST
Practice Address - Street 2:ADVOCARE HERITAGE FAMILY MEDICINE A
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3082
Practice Address - Country:US
Practice Address - Phone:856-235-0290
Practice Address - Fax:856-235-0601
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08820400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ077356Medicare Oscar/Certification