| Doctor Name: | DEBRA ANNE PHILLIPS |
| NPI Number: | 1366741019 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | NP-677A |
| Business Practice Address: | 1202 E Locust St Emmett, ID - 836172715 |
| Business Phone Number: | 2083653561 |
| Business Fax Number: | 2083654176 |
| Mailing Address: | 1202 E Locust St, EMMETT |
| State: | ID |
| Postal Code: | 836172715 |
| Phone Number: | 2083653561 |
| Fax Number: | 2083654176 |
| NPI Enumeration Date: | 03/21/2011 |
| NPI Last Update Date: | 03/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-677A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |