| Debra Anne Phillips, FNP-BC | |
|
1202 E Locust St, Emmett, ID 83617-2715 | |
| (208) 365-3561 | |
| (208) 365-4176 |
| Full Name | Debra Anne Phillips |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1202 E Locust St, Emmett, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366741019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP-677A (Idaho) | Primary |
| Entity Name | Medical Directors Of Idaho Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710392410 PECOS PAC ID: 1951628544 Enrollment ID: O20150319000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Anne Phillips, FNP-BC 1202 E Locust St, Emmett, ID 83617-2715 Ph: (208) 365-3561 | Debra Anne Phillips, FNP-BC 1202 E Locust St, Emmett, ID 83617-2715 Ph: (208) 365-3561 |
Mark Berger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 | |
Dr. Andrea Walsh, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2020 S Johns Ave Ste B, Emmett, ID 83617 Phone: 208-369-4340 Fax: 208-369-4341 | |
Darcy Renee Cook, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 426 Hwy 16, Emmett, ID 83617 Phone: 208-365-2735 Fax: 208-365-2737 | |
Bobbi Fuller, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 709 S. Washington Ave, Suite B, Emmett, ID 83617 Phone: 208-740-8808 | |
Michelle Clapperton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-3455 Fax: 208-365-3422 | |
Lisa Isaksen, NP-C, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 E Locust St, Emmett, ID 83617 Phone: 208-365-3561 Fax: 208-365-3589 |