| NPI | 1407866395 |
|---|---|
| Former Name | TANA L PHIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA TP005976H) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA TP005976H) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-12-19 |