Rebecca Kathryn Phelps, CPNP
Nurse Practitioner, Pediatrics in Collinsville, IL. Individual provider (NPI-1).
NPI number1881925337
StatusActive
Last updated in NPPESJan 22, 2010
Details
- NPI
- 1881925337
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Kathryn Phelps
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2010
- Last updated
- Jan 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 2009032690 | MO | Yes |
Practice location
28 Woodland DrCollinsville, IL 62234-1340
Phone 618-799-9805
Mailing address
28 Woodland DrCollinsville, IL 62234-1340
Phone 618-799-9805
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