Provider Demographics
NPI:1790424026
Name:PHIPPS, ELISE MARIE (IHP)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:MARIE
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:IHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 FORT MYER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-1603
Mailing Address - Country:US
Mailing Address - Phone:301-938-3545
Mailing Address - Fax:
Practice Address - Street 1:1911 FORT MYER DR STE 300
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-1603
Practice Address - Country:US
Practice Address - Phone:301-938-3545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath