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Individual

MS. DEBRA ANN PHELPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, ARNP

Contact information

Practice address
320 WESTLAKE AVE N, SUITE 100, SEATTLE, WA 98109-5232
(206) 448-5542
Mailing address
18717 22ND DR SE, BOTHELL, WA 98012-8729
(425) 503-5909

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP30003862
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9618133
WA
Enumeration date
01/09/2006
Last updated
06/02/2010
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