Individual
ANN M PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
619 MIDFLORIDA DR STE 1, LAKELAND, FL 33813-4916
(863) 701-7188
(863) 701-2014
Mailing address
619 MIDFLORIDA DR STE 1, LAKELAND, FL 33813-4916
(863) 701-7188
(863) 701-2014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9225667
FL
363LF0000X
Family Nurse Practitioner
ARNP 9225667
FL
Other
Enumeration date
02/16/2010
Last updated
12/07/2021
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