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NPI Code Detail

MEDICARE: MRS. DONNA MARIE PHELPS LPN

MEDICARE: MRS. DONNA MARIE PHELPS LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLP023306AZ

General Provider Information

NPI Number : 1104158138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA MARIE PHELPS LPN
Provider Business Mailing Address
First Line : 4250 N DRINKWATER BLVD
Second Line : SUITE 165
City : SCOTTSDALE
State : AZ
Zip : 85251-3981
Country : US
Telephone Number : 480-444-7800
Fax Number : 480-444-7769
Provider Business Practice Location Address
First Line : 4250 N DRINKWATER BLVD
Second Line : SUITE 165
City : SCOTTSDALE
State : AZ
Zip : 85251-3981
Country : US
Telephone Number : 480-444-7800
Fax Number : 480-444-7769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2010
Last Update Date : 02/01/2010

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Directions to “ MRS. DONNA MARIE PHELPS LPN” Practice Location

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