Phipps, Wanda Shavon

Phipps, Wanda Shavon is an sole proprietor health care provider with primary practice located at 26371 Barranquilla Ave , Punta Gorda FL 33983-5723. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Phipps, Wanda Shavon can be contacted via phone (941) 380-8957.

Contact Information

Primary practice address
26371 Barranquilla Ave Punta Gorda FL 33983-5723
Phone: (941) 380-8957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1508521261
LBN Legal business name Phipps, Wanda Shavon
Credentials MSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2021
Last updated Nov 8th, 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.

Request for update

Popular Providers