Penny Lou Phares in Yankeetown - Psychiatric/mental Health, Child & Adolescent
Penny Lou Phares - NPI 1477619377
Penny Lou Phares is a Psychiatric/mental Health, Child & Adolescent in Yankeetown, Florida. Penny Lou Phares practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for Penny Lou Phares is 1477619377. The last update date is 2007-07-09.
Penny Lou Phares's current location address is 14 Hickory Ave, Yankeetown, Florida. You can contact this provider via phone number 3524471775 and fax number 3524472165. The mailing address for Penny Lou Phares is 14 Hickory Ave, Yankeetown, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny Lou Phares |
|---|---|
| Address | 14 Hickory Ave, Yankeetown, Florida |
| Phone Number | 3524471775 |
| Fax Number | 3524472165 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1477619377 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 14 Hickory Ave |
|---|---|
| City | Yankeetown |
| State | Florida (FL) |
| Post Code | 344982424 |
| Phone Number | 3524471775 |
| Fax Number | 3524472165 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Child & Adolescent |
|---|---|
| Taxonomy | 163Wp0807X |
| Licence No | ARNP1239672 |
|
Definition: A psychiatric nurse who cares for infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 474927 | FL | VALUE OPTIONS PROVIDER NU |
Post Comment/ Review Below
What is the Penny Lou Phares's 1477619377?
The Penny Lou Phares's NPI (National Provider Identifier) Number is 1477619377. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Penny Lou Phares?
The Penny Lou Phares is situated at 14 Hickory Ave, in the city of Yankeetown, state of FL, with the zip code 344982424.
What is the area of specialization for Penny Lou Phares, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Penny Lou Phares is Psychiatric/mental Health, Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 163Wp0807X.
When did Penny Lou Phares receive its 1477619377 assignment?
The Penny Lou Phares was assigned its 1477619377 on 2006-12-28, which is the date when this unique identifier was issued to the organization.
When was the Penny Lou Phares's information last updated?
The Penny Lou Phares's information was last updated on 2007-07-09.