Individual
DANIELLE DEBORAH PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
243 W 29TH ST, ERIE, PA 16508-1837
(814) 460-1395
Mailing address
243 W 29TH ST, ERIE, PA 16508-1837
(814) 460-1395
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN279798
PA
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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