Individual
ALIX A PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 454-1400
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.427661
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.034308
IL
Other
Enumeration date
12/12/2025
Last updated
02/13/2026
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