Ivy Sanderson, Debora

Ivy Sanderson, Debora is an individual health care provider with primary practice located at 1300 Enterprise Rd. , Socorro NM 87801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ivy Sanderson, Debora can be contacted via phone (575) 835-4444.

Contact Information

Primary practice address
1300 Enterprise Rd. Socorro NM 87801
Phone: (575) 835-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP114027 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 65006 New Mexico

Profile Details

NPI number 1427044288
LBN Legal business name Ivy Sanderson, Debora
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Oct 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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