Individual
KAREN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-8421
Mailing address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-8421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1430212
FL
363LF0000X
Family Nurse Practitioner
Primary
201050126NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9402
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/06/2006
Last updated
10/14/2010
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