Derrae Fornito, RN
NPI #1215161567 in Deptford, New Jersey
Provider Information
- NPI Number
- 1215161567
- Entity Type
- Individual
- Name
- Derrae Fornito, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- May 14, 2009
- Last Updated
- May 14, 2009
Practice Location
- Address
- 600 1ST AVE
- City
- Deptford
- State
- New Jersey
- ZIP Code
- 08096-6606
- Phone
- (800) 950-6066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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