Phelps, Tisha Y

Phelps, Tisha Y is an individual health care provider with primary practice located at 2315 Stockton Blvd , Sacramento CA 95817. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Phelps, Tisha Y can be contacted via phone (916) 703-2372.

Contact Information

Primary practice address
2315 Stockton Blvd Sacramento CA 95817
Phone: (916) 703-2372
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 6225962-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 23142 California

Profile Details

NPI number 1194052456
LBN Legal business name Phelps, Tisha Y
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2009
Last updated Aug 23rd, 2018 - about 6 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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