Individual
MRS. KATHLEEN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, CEN
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-9732
Mailing address
2415 UPPER PARK RD, ORLANDO, FL 32814-6158
(407) 590-3135
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
513998
FL
163W00000X
Registered Nurse
9211958
FL
363L00000X
Nurse Practitioner
Primary
9211958
FL
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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