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NPI Code Detail

MEDICARE: VANESSA PHELPS ARNP

MEDICARE: VANESSA PHELPS ARNP
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
1363LA2100XAcute Care Nurse PractitionerARNP9436017FL

General Provider Information

NPI Number : 1518402387
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA PHELPS ARNP
Provider Business Mailing Address
First Line : 730 N NEW WARRINGTON RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4247
Country : US
Telephone Number : 850-696-0395
Fax Number :
Provider Business Practice Location Address
First Line : 730 N NEW WARRINGTON RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-4247
Country : US
Telephone Number : 850-696-0395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2017
Last Update Date : 01/03/2017

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