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Contact Information

DEBORA IVY SANDERSON, FNP-C
1300 ENTERPRISE RD.
SOCORRO, NM87801
 Phone: 575-835-4444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DEBORA IVY SANDERSON · (Female)

NPI # 1427044288
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 09/26/2005
Last updated 08/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ME License # CNP231074
  • NM License # 65006
  • TX License # AP114027
Hospital affiliation(s)
  • SOCORRO GENERAL HOSPITAL - (Critical Access)
    1202 HIGHWAY 60 WEST
    SOCORRO, NM 87801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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