Provider Demographics
NPI:1184637332
Name:ALFORD, PHYLIS CHRISTIAN (RN, CRNP, FNP)
Entity Type:Individual
Prefix:MRS
First Name:PHYLIS
Middle Name:CHRISTIAN
Last Name:ALFORD
Suffix:
Gender:F
Credentials:RN, CRNP, FNP
Other - Prefix:MS
Other - First Name:PHYLIS
Other - Middle Name:CHRISTIAN
Other - Last Name:RAGLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CRNP, FNP
Mailing Address - Street 1:14426 LANTANA BRANCH LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4364
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:832-295-3981
Practice Address - Street 1:14426 LANTANA BRANCH LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4364
Practice Address - Country:US
Practice Address - Phone:832-295-3981
Practice Address - Fax:832-295-3981
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN205677L163WC1500X, 163WC1600X, 163WE0003X
PAVP006287B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WE0003XNursing Service ProvidersRegistered NurseEmergency