Individual
DEANA PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19 CRYSTAL FARMS CT, SOUTHINGTON, CT 06489-3842
(860) 384-0509
Mailing address
19 CRYSTAL FARMS CT, SOUTHINGTON, CT 06489-3842
(860) 384-0509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19969671
CT
171400000X
Health & Wellness Coach
—
CT
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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