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DEBRA A PHIPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1595 E MAIN ST, PRATTVILLE, AL 36066-5509
(334) 361-7306
(334) 361-8966
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-113318
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102I500616
MEDICARE
AL
05
202492
AL
01
511-91843
BCBS OF ALABAMA
AL
01
P01870152
RR MEDICARE
AL
01
Z98604
VIVA HEALTH
AL
Enumeration date
06/24/2011
Last updated
01/12/2023
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