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NPI Code Detail

MEDICARE: BARRETT PHIFER RN

MEDICARE: BARRETT PHIFER RN
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
1146L00000XParamedicPMD521079FL
2163WF0300XFlight Registered NurseRN9287797FL
3163WC0200XCritical Care Medicine Registered NurseRN9287797FL

General Provider Information

NPI Number : 1558224501
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRETT PHIFER RN
Provider Business Mailing Address
First Line : 9836 W ROSS AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85382-5101
Country : US
Telephone Number : 904-923-5042
Fax Number :
Provider Business Practice Location Address
First Line : 9836 W ROSS AVE
Second Line :
City : PEORIA
State : AZ
Zip : 85382-5101
Country : US
Telephone Number : 904-923-5042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2025
Last Update Date : 12/06/2025

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