Phelps, Patricia A

Phelps, Patricia A is an individual health care provider with primary practice located at 25 N Winfield Rd Ste 424 , Winfield IL 60190-1379. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Phelps, Patricia A can be contacted via phone (630) 933-4056.

Contact Information

Primary practice address
25 N Winfield Rd Ste 424 Winfield IL 60190-1379
Phone: (630) 933-4056
Fax: (630) 933-4057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209005524 Illinois

Profile Details

NPI number 1679584817
LBN Legal business name Phelps, Patricia A
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Oct 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679584817 NPPES
Other 0222075 CDPG BLUE CROSS GROUP
Other 206147 CDPG BLUE CROSS GROUP
Other 363149833 CDPG BLUE CROSS GROUP

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