Individual
DEBRA ANNE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3561
(208) 365-4176
Mailing address
1202 E LOCUST ST, EMMETT, ID 83617-2715
(208) 365-3561
(208) 365-4176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-677A
ID
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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