Individual
MISSTY LYN PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX 1574, SEGUIN, TX 78156-8574
(830) 282-9202
Mailing address
PO BOX 1574, SEGUIN, TX 78156-8574
(830) 282-9202
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
1074905
TX
Other
Enumeration date
11/08/2024
Last updated
11/26/2024
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