person
Tisha Y Phelps, CPNP-AC
Critical Care Pediatric Nurse Practitioner in Sacramento, California
NPI 1194052456

Tisha Y Phelps is a Critical Care Pediatric Nurse Practitioner based in Sacramento, CA and is specialized in Pediatrics, Critical Care. Tisha Y Phelps practices in Sacramento, CA and has the professional credentials of CPNP-AC. The NPI Number for Tisha Y Phelps is 1194052456 and holds a License No. 6225962-4405 (California).

The current practice location address for Tisha Y Phelps is 2315 Stockton Blvd, Sacramento, CA and can be reached out via phone at 916-703-2372.

Location: 2315 Stockton Blvd, Sacramento, CA, 95817-2201
person
Provider Profile Details
NPI Number
1194052456
Provider Name
Tisha Y Phelps
Credential
CPNP-AC
Provider Entity Type
Individual
Gender
Female
Address
2315 Stockton Blvd, Sacramento, CA, 95817-2201
Phone Number
916-703-2372
Fax Number
Provider Enumeration Date
11/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2315 Stockton Blvd
City
State
Zip
95817
Phone Number
916-703-2372
Fax Number
person
Provider Business Mailing Address Details
Address
2315 Stockton Blvd
City
State
Zip
95817
Phone Number
916-703-2372
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
6225962-4405 (Utah)
Definition
Definition to come...
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