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Mr. Phillip T Deturk, NP
Nurse Practitioner in West Lafayette, Indiana
NPI 1275626095

Phillip T Deturk is a Nurse Practitioner based in West Lafayette, IN. Phillip T Deturk practices in West Lafayette, IN and has the professional credentials of NP. The NPI Number for Phillip T Deturk is 1275626095 and holds a License No. 71002161A (Indiana).

The current practice location address for Phillip T Deturk is 124 Sagamore Pkwy West, West Lafayette, IN and can be reached out via phone at 765-463-6722 and via fax at 765-463-0905.

Location: 124 Sagamore Pkwy West, West Lafayette, IN, 47906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275626095
Provider Name
Phillip T Deturk
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
124 Sagamore Pkwy West, West Lafayette, IN, 47906
Phone Number
765-463-6722
Fax Number
765-463-0905
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71002161B 01 IN APN CSR REFERENCE
71002161A 01 IN NURSE PRACTITIONER AUTHOR
28153076A 01 IN REGISTERED NURSE LICENSE
institution
Provider Business Practice Location Address Details
Address
124 Sagamore Pkwy West
City
West Lafayette
State
Indiana
Zip
47906
Phone Number
765-463-6722
Fax Number
765-463-0905
person
Provider Business Mailing Address Details
Address
124 Sagamore Pkwy West
City
West Lafayette
State
Indiana
Zip
47906
Phone Number
765-463-6722
Fax Number
765-463-0905
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71002161A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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