| Doctor Name: | MRS. DANIA LYNN PHELPS |
| NPI Number: | 1194916676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYCH NP |
| License Number: | SD-CNP CP000483 |
| Business Practice Address: | 113 Comanche Rd Fort Meade, SD - 577411002 |
| Business Phone Number: | 1800743107 |
| Business Fax Number: | 6057452806 |
| Mailing Address: | 113 Comanche Rd, FORT MEADE |
| State: | SD |
| Postal Code: | 577411002 |
| Phone Number: | 1800743107 |
| Fax Number: | 6057452806 |
| NPI Enumeration Date: | 08/08/2007 |
| NPI Last Update Date: | 08/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | SD-CNP CP000483 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |