Individual
DEREK EDWARD PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 JOSEPH E SANKER BLVD, CINCINNATI, OH 45212-1979
(513) 841-7400
Mailing address
7871 BARRET RD, WEST CHESTER, OH 45069-2749
(859) 240-2780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
452998
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021178
OH
Other
Enumeration date
11/08/2021
Last updated
01/06/2025
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