Provider Demographics
NPI:1215355763
Name:PHLIPOT, DEBORAH ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANN
Last Name:PHLIPOT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:349 S. MAIN STREET
Mailing Address - Street 2:COMMUNITY BLOOD CENTER/COMMUNITY TISSUE SERVICES
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402
Mailing Address - Country:US
Mailing Address - Phone:937-461-3450
Mailing Address - Fax:937-461-9584
Practice Address - Street 1:349 S. MAIN STREET
Practice Address - Street 2:COMMUNITY BLOOD CENTER/COMMUNITY TISSUE SERVICES
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402
Practice Address - Country:US
Practice Address - Phone:937-461-3450
Practice Address - Fax:937-461-9584
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN186320163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical